| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $262.38 | $462.69 | $612.78 |
Colorectal Cancer Screening; Alternative To G0104 Screening Sigmoidoscopy Barium Enema (Special Coverage Instructions Apply)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $262.38 | $462.69 | $612.78 |