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California rates for RC 0401

Other Imaging Services - Diagnostic Mammography

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $194.98 / $1,288.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $89.13 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $7,244.36 / $15,135.61
HealthNet
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,995.26 / $6,025.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $194.98 / $316.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $6,760.83 / $15,135.61