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Louisiana 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
$19.82 / $26.84 / $76.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $31.00 / $61.11
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$41.27 / $41.27 / $144.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$9.92 / $13.42 / $20.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $52.91 / $52.91
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$36.54 / $36.54 / $36.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.54 / $66.81 / $91.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $32.74 / $36.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.22 / $38.01 / $38.01
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $38.89 / $68.45