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Utah rates for HCPCS 74713

Fetal Mri W/Placntl Matrnl Plvc Img Ea Addl Ges

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.00 / $1,645.44 / $3,673.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.47 / $475.00 / $1,323.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.00 / $686.40 / $728.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.66 / $286.16 / $576.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $98.78 / $197.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.38 / $354.04 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.56 / $219.64 / $387.60