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Hawaii 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
$87.10 / $87.10 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $36.31 / $63.10
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$30.20 / $36.31 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $54.95
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $114.82 / $131.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $41.69 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $38.90 / $58.88