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Nebraska rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,265.80 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,311.31 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $151.36 / $346.74
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.29 / $51.29 / $51.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $223.87 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,819.70 / $6,456.54