go back

Michigan rates for HCPCS G0105

Colorectal cancer screening; colonoscopy on individual at high risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,621.81 / $3,801.89
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$208.93 / $1,380.38 / $1,380.38
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$91.20 / $117.49 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $316.23 / $851.14
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$72.44 / $125.89 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$81.28 / $134.90 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $169.82 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $295.12 / $537.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $138.04 / $288.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $112.20 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $478.63
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$41.69 / $147.91 / $363.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,513.56 / $3,630.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$208.93 / $1,380.38 / $1,380.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$91.20 / $165.96 / $354.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $331.13 / $660.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$77.62 / $147.91 / $245.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $457.09
Priority Health
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$147.91 / $194.98 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,995.26 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $331.13 / $562.34
United
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$204.17 / $204.17 / $204.17