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Vermont 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
$2,687.39 / $2,687.39 / $2,687.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.09 / $286.62 / $947.06
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$49.90 / $91.28 / $275.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.82 / $578.54 / $1,239.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.60 / $301.45 / $1,239.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.60 / $301.45 / $1,239.73
MVP Health Care
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$164.51 / $178.89 / $401.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.68 / $522.23 / $1,364.35