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Virginia 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
$29.80 / $30.58 / $43.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $37.03 / $65.62
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$39.76 / $50.21 / $172.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.95 / $15.29 / $21.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $36.35 / $46.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $25.92 / $50.54
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $45.26 / $64.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.10 / $37.53 / $62.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.78 / $58.53 / $70.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.63 / $33.46 / $56.70
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $45.50 / $76.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $43.21 / $73.20