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Nebraska 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
$25.17 / $25.17 / $36.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $31.21 / $45.06
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$12.59 / $15.84 / $22.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $34.95 / $34.95
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$35.18 / $35.18 / $36.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.77 / $42.28 / $58.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $59.05 / $89.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.17 / $45.89 / $79.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.64 / $76.69 / $245.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.29 / $56.78 / $89.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $56.78 / $89.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $51.00 / $101.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.53 / $66.09 / $90.07