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Pennsylvania rates for HCPCS G0105

Colorectal cancer screening; colonoscopy on individual at high risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,361.09 / $5,746.10
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$102.50 / $434.00 / $2,515.94
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$79.34 / $151.24 / $248.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.87 / $310.79 / $572.47
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$37.08 / $82.65 / $194.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.16 / $269.19 / $343.98
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
$692.88 / $692.88 / $692.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.27 / $361.25 / $615.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.00 / $760.00 / $1,463.23
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
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$41.90 / $163.30 / $163.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.18 / $403.18 / $403.18
Emblem Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$201.54 / $201.54 / $201.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.14 / $510.61 / $679.90
Emblem Health
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$198.29 / $242.59 / $335.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.16 / $1,822.92 / $3,233.64
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$987.87 / $987.87 / $987.87
Highmark BCBS
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$909.89 / $1,196.53 / $2,400.23
Highmark BCBS
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$982.59 / $1,034.23 / $2,731.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.13 / $258.74 / $329.90
Highmark BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$200.36 / $265.39 / $336.36
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.88 / $7,545.00 / $10,182.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.24 / $2,075.23 / $5,363.29
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$102.50 / $434.00 / $2,515.94
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$82.65 / $155.80 / $287.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.59 / $351.90 / $844.00
Martin's Point
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$52.13 / $127.68 / $291.61
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.70 / $778.16 / $778.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.56 / $447.70 / $858.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.26 / $760.00 / $1,865.00
Priority Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$194.61 / $194.61 / $194.61
Priority Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$48.65 / $48.65 / $48.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $301.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.38 / $203.52 / $329.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$52.00 / $89.19 / $164.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.38 / $322.98 / $352.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$86.42 / $108.59 / $176.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $1,090.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.83 / $414.72 / $652.97
United
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$204.61 / $204.61 / $204.61