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Indiana rates for RC 0403

Other Imaging Services - Screening Mammography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.00 / $211.00 / $211.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.31 / $87.81 / $152.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $212.00 / $235.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $300.00 / $300.00