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Indiana rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.85 / $173.48 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $4,119.97 / $8,230.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.12 / $66.45 / $228.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.45 / $199.40 / $761.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.00 / $2,811.00 / $4,128.00