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Oklahoma rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $1,778.28 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,630.27 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $162.18 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.29 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,348.96 / $2,630.27