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Minnesota rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $190.55 / $2,570.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,137.96 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $707.95 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$24.55 / $24.55 / $24.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $169.82 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,238.72 / $4,265.80