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Montana rates for HCPCS G0101

Cervical or vaginal cancer screening; pelvic and clinical breast examination

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $33.18 / $63.00
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
$11.09 / $15.92 / $24.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.12 / $52.74 / $62.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.12 / $43.12 / $62.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $43.12 / $62.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.37 / $38.27 / $68.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $62.04 / $94.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.11 / $62.15 / $77.97