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Wisconsin rates for HCPCS 74713

Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure)

Facilitymedian $468 · 10th–90th $200–$8510%20%10th90th$468Professionalmedian $372 · 10th–90th $204–$7590%10%10th90th$372$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $426.58 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $331.13 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $354.81 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $645.65 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $549.54 / $831.76
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $371.54 / $478.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $446.68 / $602.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $398.11 / $602.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $446.68 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $512.86 / $831.76
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $467.74 / $691.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $2,630.27 / $2,630.27
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $1,122.02 / $1,348.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,288.25 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $141.25 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $398.11 / $831.76