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Texas 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
$325.52 / $2,276.00 / $5,499.78
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$52.49 / $89.21 / $143.78
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$29.56 / $73.90 / $150.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.80 / $248.93 / $504.09
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$31.04 / $72.51 / $166.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.16 / $184.60 / $259.74
Ambetter
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$110.68 / $110.68 / $110.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.85 / $1,199.29 / $2,589.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.82 / $272.79 / $434.09
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.43 / $294.36 / $1,777.75
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.92 / $216.45 / $398.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.86 / $844.53 / $844.53
Christus
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$80.78 / $80.78 / $182.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.61 / $702.60 / $2,213.00
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
$63.86 / $137.13 / $174.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.84 / $11,500.00 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$663.66 / $716.72 / $716.72
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$165.92 / $179.18 / $179.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.00 / $2,206.53 / $2,836.73
Lucent Health
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$119.55 / $119.55 / $251.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.94 / $331.24 / $638.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.93 / $376.82 / $589.80
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.57 / $1,215.00 / $2,896.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $221.52 / $601.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.72 / $335.46 / $665.47
Providence
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$194.61 / $194.61 / $194.61
Providence
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$48.65 / $48.65 / $48.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $810.71
Providence
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$106.08 / $143.83 / $244.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.00 / $1,500.00 / $3,260.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.91 / $382.00 / $608.83
United
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$204.61 / $204.61 / $204.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.66 / $327.05 / $443.58
Wellpoint
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$139.69 / $204.23 / $299.25