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Vermont rates for HCPCS 74713

Fetal Mri W/Placntl Matrnl Plvc Img Ea Addl Ges

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $425.00 / $425.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.10 / $349.10 / $349.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.89 / $319.01 / $882.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.10 / $349.10 / $349.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.89 / $319.01 / $882.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.38 / $354.26 / $938.88