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Missouri 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
$31.96 / $44.86 / $327.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $37.59 / $67.33
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$39.76 / $56.35 / $172.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.96 / $15.66 / $22.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $41.05 / $57.75
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$35.54 / $35.54 / $35.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $14.50 / $43.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $34.82 / $36.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.71 / $40.39 / $72.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.28 / $56.00 / $245.75
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.53 / $60.08 / $60.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.56 / $44.48 / $72.59