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Tennessee 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
$45.71 / $45.71 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $37.15 / $70.79
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$36.31 / $72.44 / $120.23
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$35.48 / $35.48 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.02 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$29.51 / $38.90 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $41.69 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $37.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $37.15 / $61.66