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Georgia rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.48 / $3,018.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $1,729.39 / $3,784.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.92 / $123.92 / $123.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.10 / $512.00 / $703.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.41 / $179.90 / $234.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$33.92 / $37.93 / $110.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.00 / $1,952.00 / $4,066.00