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Tennessee rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $1,288.25 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,137.96 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $316.23 / $645.65
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$24.55 / $24.55 / $24.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$169.82 / $169.82 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,380.38 / $2,884.03