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North Carolina rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $281.84 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $245.47 / $512.86
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$24.55 / $24.55 / $24.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $128.82 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $1,000.00 / $3,311.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Wellcare
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$169.82 / $169.82 / $169.82