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North Dakota rates for HCPCS G0105

Colorectal cancer screening; colonoscopy on individual at high risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.71 / $2,660.72 / $4,079.75
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$92.64 / $92.64 / $166.09
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$37.06 / $92.64 / $288.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.95 / $332.17 / $926.10
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$37.06 / $88.47 / $171.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.32 / $498.38 / $845.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.75 / $301.45 / $468.28
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$41.90 / $228.33 / $391.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.28 / $332.17 / $1,027.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.60 / $590.76 / $1,642.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.24 / $550.03 / $867.54