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Texas 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
$15.94 / $24.80 / $90.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $31.84 / $50.21
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$39.76 / $50.00 / $144.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$9.77 / $14.18 / $20.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.93 / $36.54 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$31.06 / $36.54 / $37.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.30 / $78.43 / $132.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $28.64 / $33.70
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.70 / $54.70 / $54.70
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.44 / $42.02 / $63.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.22 / $38.01 / $38.01
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
$132.21 / $140.72 / $140.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.97 / $245.75 / $327.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.41 / $36.90 / $60.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $47.40 / $68.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.66 / $43.43 / $78.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.38 / $36.88 / $61.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $34.82 / $84.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $40.78 / $64.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $37.77 / $51.19