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Alaska rates for HCPCS G0101

Cervical or vaginal cancer screening; pelvic and clinical breast examination

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $33.11 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $44.67 / $75.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $83.18 / $165.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $109.65 / $169.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $41.69 / $72.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $58.88 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $95.50 / $204.17