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Vermont 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
$31.53 / $42.77 / $55.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.89 / $37.65 / $130.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$41.27 / $41.27 / $144.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$12.70 / $15.77 / $33.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.56 / $58.43 / $141.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $34.82 / $141.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $34.82 / $141.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $55.65 / $161.78