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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
$120.23 / $120.23 / $128.82
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $83.18 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,137.96 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $2,089.30
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $199.53 / $346.74