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Tennessee 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
$45.97 / $45.97 / $64.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $35.81 / $62.99
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$39.76 / $50.21 / $144.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.76 / $15.29 / $21.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.74 / $52.46 / $62.70
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$29.53 / $29.53 / $40.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $38.51 / $61.41
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.72 / $140.72 / $140.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.97 / $245.75 / $327.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.40 / $40.78 / $71.12