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Ohio rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.71 / $2,547.00 / $8,956.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $1,640.00 / $3,943.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.99 / $59.71 / $71.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.45 / $215.62 / $600.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.45 / $215.62 / $600.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.00 / $1,848.00 / $4,067.00