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Texas rates for RC 0401

Other Imaging Services - Diagnostic Mammography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.00 / $200.00 / $415.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.43 / $108.39 / $173.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $18.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.00 / $358.00 / $680.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.87 / $278.83 / $621.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $358.00 / $688.00