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Missouri rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.70 / $2,414.00 / $5,691.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.06 / $159.12 / $411.65
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.47 / $51.47 / $51.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,729.00 / $2,539.00