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Missouri rates for RC 0403

Other Imaging Services-Screening Mammography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $199.53 / $208.93
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $102.33 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88