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Washington rates for HCPCS G0123

Screening Cytopathology Cervical Or Vaginal (Any Reporting System) Collected In Preservative Fluid Automated Thin Layer Preparation Screening By Cytotechnologist Under Physician Supervision (Special Coverage Instructions Apply. See Cim: 50- 20)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $19.04 / $20.26
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $96.72 / $96.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $44.17 / $151.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $10.65 / $10.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.26 / $31.50 / $69.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $34.44 / $65.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.26 / $20.26 / $30.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.23 / $18.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.41 / $33.06 / $43.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $24.31