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Wisconsin 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
$24.37 / $35.07 / $93.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $36.78 / $101.06
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$72.50 / $123.25 / $177.56
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.66 / $15.92 / $21.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.81 / $53.24 / $129.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.40 / $31.84 / $38.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.63 / $42.22 / $53.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.63 / $121.10 / $160.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $53.91 / $108.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $35.07 / $55.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $26.28 / $26.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $35.07 / $57.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $82.80 / $245.75
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$143.82 / $143.82 / $143.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $34.06 / $71.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $35.07 / $56.58
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $26.28 / $26.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.51 / $84.24 / $124.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.77 / $50.62 / $140.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.82 / $165.51 / $245.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.75 / $78.43 / $114.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $67.06 / $132.02