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Indiana 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
$25.64 / $26.69 / $36.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $33.18 / $52.50
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$39.76 / $50.00 / $50.21
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$12.19 / $15.92 / $20.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $38.90 / $52.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.95 / $56.95 / $91.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $41.50 / $57.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.44 / $30.55 / $36.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.18 / $42.22 / $52.77
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 / $55.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.71 / $39.44 / $62.77