go back

Maine 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
$26.28 / $77.37 / $200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $33.18 / $61.79
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$73.40 / $73.40 / $73.40
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$12.19 / $13.93 / $19.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $40.14 / $59.44
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.39 / $48.23 / $85.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.12 / $125.85 / $200.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $37.06 / $62.60
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$12.99 / $16.97 / $19.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.32 / $52.66 / $79.03