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New York rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.57 / $3,100.00 / $8,134.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.00 / $3,263.00 / $4,636.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.12 / $78.12 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.45 / $74.45 / $7,227.90
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.08 / $110.73 / $332.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.22 / $171.22 / $171.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.69 / $147.69 / $147.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.45 / $555.00 / $7,227.90
MVP Health Care
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.00 / $3,235.00 / $5,828.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.53 / $60.53 / $60.53