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Oklahoma rates for RC 0403

Other Imaging Services-Screening Mammography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $102.33 / $102.33
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $72.44 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19