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Texas rates for HCPCS G0104

Colorectal cancer screening; flexible sigmoidoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $2,128.00 / $6,691.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.74 / $218.16 / $865.37
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.91 / $68.81 / $2,534.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.20 / $978.57 / $978.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.99 / $213.58 / $2,530.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.14 / $302.14 / $947.70
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.47 / $56.59 / $56.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.42 / $129.33 / $233.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.42 / $131.10 / $236.94
Providence
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.89 / $14.89 / $14.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.00 / $1,500.00 / $3,260.00