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Massachusetts rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $2,089.30 / $3,715.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $1,122.02 / $3,548.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$169.82 / $169.82 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $676.08 / $741.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $177.83 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $7,079.46
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $912.01 / $4,786.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $1,122.02 / $3,548.13
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$169.82 / $169.82 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,041.74 / $5,623.41