go back

Maryland rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $158.49 / $602.56
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$24.55 / $24.55 / $24.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $251.19 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $331.13 / $1,000.00