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Indiana rates for RC 0401

Other Imaging Services - Diagnostic Mammography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $112.20 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78