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Pennsylvania rates for RC 0403

Other Imaging Services - Screening Mammography

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.47 / $94.19 / $172.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.00 / $874.00 / $874.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.50 / $184.93 / $226.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.00 / $874.00 / $874.00