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New York 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
$21.78 / $30.78 / $187.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.79 / $33.18 / $63.15
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$39.76 / $44.22 / $144.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$10.90 / $15.39 / $22.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.70 / $36.54 / $42.51
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$36.54 / $36.54 / $40.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $38.19 / $72.44
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.60 / $38.60 / $38.60
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.60 / $38.60 / $54.83
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.56 / $45.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.61 / $54.69 / $78.64
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.69 / $36.24 / $46.02
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.90 / $46.02 / $78.73
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.27 / $46.04 / $49.56
Fidelis
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$47.07 / $47.10 / $47.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $39.65 / $93.57
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$33.02 / $39.22 / $39.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.77 / $35.77 / $35.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $42.36 / $97.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $44.62 / $99.82
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.35 / $29.35 / $46.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $46.02 / $86.41