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Illinois rates for HCPCS G0104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.32 / $973.00 / $3,902.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.57 / $588.15 / $1,431.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.45 / $400.00 / $785.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $187.41 / $405.90
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $1,905.00 / $4,183.00