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Illinois rates for RC 0401

Other Imaging Services - Diagnostic Mammography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $174.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.15 / $98.86 / $159.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.00 / $2,146.00 / $3,929.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $916.00 / $2,069.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $120.00 / $345.40