go back

New York rates for HCPCS G0105

Colorectal cancer screening; colonoscopy on individual at high risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.40 / $2,807.62 / $8,907.44
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$60.69 / $101.20 / $182.08
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$40.47 / $110.91 / $250.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.58 / $274.67 / $666.11
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$38.46 / $81.20 / $194.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.68 / $180.28 / $343.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.00 / $3,189.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.70 / $340.39 / $811.84
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$80.44 / $192.31 / $427.81
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.07 / $261.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.07 / $245.61 / $491.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.26 / $243.26 / $4,612.43
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 / $475.77
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$132.78 / $196.79 / $361.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.70 / $281.45 / $489.95
Emblem Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$104.07 / $234.16 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.25 / $474.41 / $960.48
Emblem Health
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$188.85 / $232.66 / $339.69
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.32 / $313.32 / $639.45
Excellus BCBS
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$156.54 / $156.54 / $156.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.18 / $804.79 / $1,007.58
Excellus BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$127.71 / $577.16 / $695.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.05 / $1,515.75 / $3,586.45
Highmark BCBS
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$393.62 / $1,771.08 / $1,898.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.89 / $188.79 / $441.15
Highmark BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$93.37 / $93.89 / $94.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.26 / $597.00 / $5,855.00
MVP Health Care
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$194.61 / $194.61 / $194.61
MVP Health Care
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$48.65 / $48.65 / $48.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $385.52 / $837.89
MVP Health Care
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$178.59 / $246.12 / $476.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.00 / $3,174.00 / $5,807.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.35 / $391.17 / $884.68
United
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$139.66 / $159.61 / $159.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.98 / $195.98 / $313.32
Univera
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$98.17 / $98.17 / $98.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.98 / $532.89 / $979.34
Univera
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$98.17 / $350.72 / $664.36