Health Plan - Aetna
Imaging/Radiology Services
Save time and money by having your outpatient imaging/radiology services completed at in-network non-hospital affiliated freestanding facilities. These facilities provide similar quality as hospital affiliated locations and are often more convenient.
Non-Hospital Facilities in Delaware
Aetna HMO Plan
Site of Care | Average Cost Per Visit | Your Cost Per Visit |
---|---|---|
Basic Imaging / Radiology (i.e., X-Ray, Ultrasound, Diagnostic 2D/3D Mammography) Note: Requires a referral through PCP |
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In-network non-hospital affiliated freestanding facility | $155 | $0 copay |
In-network hospital affiliated facility | $321 | $50 copay |
High-Tech Imaging / Radiology (i.e., MRI, CT Scan) Note: Requires a prior authorization |
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In-network non-hospital affiliated freestanding facility | $366 | $0 copay |
In-network hospital affiliated facility | $1,064 | $100 copay |
Aetna CDH Gold Plan
Site of Care | Average Cost Per Visit | Your Cost Per Visit |
---|---|---|
Basic Imaging / Radiology (i.e., X-Ray, Ultrasound, Diagnostic 2D/3D Mammography) |
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In-network non-hospital affiliated freestanding facility | $155 | 10% coinsurance after deductible is met |
In-network hospital affiliated facility | $321 | 10% coinsurance after deductible is met |
High-Tech Imaging / Radiology (i.e., MRI, CT Scan) Note: Requires a prior authorization |
||
In-network non-hospital affiliated freestanding facility | $366 | 10% coinsurance after deductible is met |
In-network hospital affiliated facility | $1,064 | 10% coinsurance after deductible is met |
Frequently Asked Questions (FAQ)