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Illinois rates for RC 0403

Other Imaging Services - Screening Mammography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $130.19
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.80 / $83.67 / $127.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.00 / $2,146.00 / $3,929.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $916.00 / $2,069.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $120.00 / $345.40