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Washington rates for HCPCS G0105

Colorectal cancer screening; colonoscopy on individual at high risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.76 / $2,491.40 / $8,500.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$74.38 / $88.79 / $148.84
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$59.53 / $122.29 / $237.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.50 / $297.67 / $556.34
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$37.04 / $85.12 / $225.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.16 / $284.11 / $361.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.06 / $2,588.57 / $16,394.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$268.70 / $663.66 / $663.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$67.18 / $165.92 / $165.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.49 / $623.53 / $2,206.53
Asuris Northwest Health
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$129.60 / $238.39 / $430.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $1,159.36
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
$106.08 / $143.83 / $267.63
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.87 / $513.40 / $1,016.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$91.68 / $195.75 / $386.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.20 / $482.75 / $904.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$91.68 / $195.75 / $366.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.16 / $357.21 / $723.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.36 / $662.38 / $702.82
Pacific Source
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$278.05 / $363.14 / $695.64
Pacific Source
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$217.20 / $373.98 / $687.99
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.54 / $467.50 / $671.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.08 / $493.60 / $881.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.56 / $2,590.05 / $4,954.47
Regence BlueShield
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$1,539.68 / $1,539.68 / $2,392.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.57 / $476.78 / $773.93
Regence BlueShield
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$135.82 / $238.39 / $386.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $887.00 / $4,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.56 / $583.41 / $968.05
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 / $279.66 / $279.66
Wellpoint
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$139.69 / $139.69 / $139.69