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New Hampshire 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
$25.96 / $26.33 / $38.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.51 / $31.57 / $43.48
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.76 / $14.90 / $19.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $42.40 / $77.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $39.33 / $63.51
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
$31.47 / $59.89 / $114.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.77 / $58.30 / $118.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.50 / $36.60 / $53.80