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Arizona rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,771.00 / $6,305.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.51 / $167.29 / $274.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.92 / $136.80 / $344.10
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.47 / $51.47 / $159.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.00 / $1,525.00 / $3,051.00