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Maine rates for HCPCS G0105

Colorectal Cancer Screening; Colonoscopy On Individual At High Risk (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.67 / $1,186.57 / $2,704.86
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$51.97 / $51.97 / $51.97
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$86.95 / $86.95 / $178.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.79 / $311.67 / $500.72
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$41.32 / $90.42 / $195.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.87 / $347.38 / $531.92
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$139.19 / $173.57 / $323.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.26 / $243.26 / $611.00
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 / $301.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.89 / $400.93 / $721.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.67 / $2,232.29 / $3,214.40
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$51.97 / $51.97 / $51.97
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$86.95 / $86.95 / $178.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.78 / $311.67 / $533.19
Martin's Point
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$55.17 / $127.68 / $240.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.12 / $520.38 / $687.46
United
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$133.69 / $133.69 / $255.94