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New Hampshire rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.41 / $184.51 / $2,985.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,426.62 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.00 / $3,624.00 / $8,035.00