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Tennessee rates for RC 0403

Other Imaging Services-Screening Mammography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $104.71 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $208.93 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $190.55 / $229.09