go back

Connecticut rates for HCPCS G0101

Cervical or vaginal cancer screening; pelvic and clinical breast examination

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $46.77 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.02 / $87.10
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$30.20 / $56.23 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $41.69 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $37.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $61.66 / $83.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $43.65 / $83.18