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Wyoming 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
$195.14 / $195.14 / $202.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.47 / $331.39 / $475.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.00 / $873.00 / $1,613.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.70 / $328.00 / $599.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.30 / $409.44 / $717.21