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Louisiana rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.56 / $1,230.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.76 / $867.97 / $1,794.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.20 / $978.57 / $978.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.45 / $488.00 / $815.00
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
$334.00 / $1,049.00 / $2,271.00