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New Mexico rates for HCPCS G0101

Cervical Or Vaginal Cancer Screening; Pelvic And Clinical Breast Examination (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $33.19 / $50.23
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$39.76 / $41.27 / $144.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.04 / $16.60 / $23.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.07 / $36.54 / $37.84
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$36.54 / $36.54 / $39.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.43 / $27.32 / $47.59
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.61 / $36.00 / $48.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $59.20 / $101.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.69 / $55.37 / $79.52