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Pennsylvania rates for RC 0401

Other Imaging Services - Diagnostic Mammography

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.45 / $106.26 / $195.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.00 / $874.00 / $874.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.65 / $421.85 / $549.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.00 / $874.00 / $874.00