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Arizona rates for HCPCS G0101

Cervical Or Vaginal Cancer Screening; Pelvic And Clinical Breast Examination (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.08 / $52.19 / $56.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $33.18 / $63.06
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$41.27 / $116.25 / $144.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.04 / $15.29 / $21.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.62 / $31.48 / $37.03
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$15.93 / $35.18 / $35.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.15 / $35.15 / $169.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $36.54 / $48.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.77 / $35.77 / $35.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $34.82 / $34.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $36.09 / $63.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $42.94 / $245.75
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$101.12 / $101.12 / $101.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $38.42 / $74.78