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California rates for RC 0403

Other Imaging Services - Screening Mammography

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.06 / $206.13 / $474.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $102.00 / $283.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.20 / $93.00 / $251.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,315.00 / $6,763.00 / $14,971.00
HealthNet
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.31 / $731.98 / $1,367.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.50 / $195.00 / $315.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,315.00 / $6,763.00 / $14,971.00