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Indiana rates for HCPCS G0105

Colorectal cancer screening; colonoscopy on individual at high risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.36 / $3,098.94 / $5,677.96
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$85.48 / $113.68 / $159.10
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$34.19 / $85.47 / $158.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.95 / $282.91 / $543.94
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$35.90 / $85.42 / $166.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.58 / $206.83 / $248.37
Ambetter
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$158.26 / $158.26 / $158.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,353.00 / $8,052.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.19 / $387.61 / $555.79
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$82.86 / $152.05 / $227.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.72 / $165.58 / $236.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $304.26 / $425.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.26 / $655.97 / $761.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$194.61 / $194.61 / $194.61
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$48.65 / $48.65 / $48.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $628.04
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$143.54 / $196.79 / $361.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.00 / $2,715.00 / $4,128.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.70 / $406.06 / $657.72
United
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$172.50 / $172.50 / $172.50