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West Virginia 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.37 / $200.37 / $750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.37 / $400.00 / $400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.98 / $128.94 / $241.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.73 / $99.73 / $99.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.74 / $228.17 / $632.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $336.92 / $943.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.45 / $285.80 / $495.26