| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $103.82 | $313.57 | $456.21 |
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 |
|---|---|---|---|---|---|
Molina
| Professional | $103.82 | $313.57 | $456.21 |