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New Jersey 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
$375.05 / $4,037.00 / $7,757.42
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$101.20 / $187.53 / $2,515.94
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$40.47 / $75.01 / $128.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.84 / $274.67 / $430.96
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$37.88 / $75.01 / $168.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.09 / $199.69 / $324.31
Ambetter
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$150.49 / $150.49 / $150.49
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $2,500.00
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.20 / $232.10 / $1,185.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.00 / $3,438.00 / $3,438.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $301.45
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$41.90 / $131.02 / $245.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.97 / $485.60 / $672.73
Emblem Health
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$174.71 / $242.59 / $313.20
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.74 / $2,216.56 / $4,227.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.17 / $314.32 / $326.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.00 / $3,823.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.70 / $360.93 / $795.17