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Idaho 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
$24.26 / $24.26 / $34.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $34.84 / $62.60
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.41 / $16.32 / $20.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $34.82 / $34.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $32.95 / $43.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.23 / $54.98 / $75.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $32.34 / $67.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.41 / $180.73 / $280.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.28 / $46.74 / $58.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $52.24 / $72.18