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South Carolina rates for HCPCS G0104

Colorectal Cancer Screening; Flexible Sigmoidoscopy (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.99 / $4,230.00 / $9,870.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.24 / $1,104.55 / $1,963.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.28 / $196.14 / $570.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.99 / $117.00 / $238.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.00 / $3,682.00 / $6,584.00