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Hawaii rates for HCPCS G0104

Colorectal Cancer Screening; Flexible Sigmoidoscopy (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,898.00 / $3,444.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.54 / $204.32 / $280.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,106.00 / $1,106.00