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Oklahoma rates for RC 0401

Other Imaging Services-Diagnostic Mammography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $133.00 / $152.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.29 / $90.58 / $159.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00