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Alaska rates for HCPCS G0121

Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For High Risk (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.17 / $5,463.50 / $9,285.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$203.62 / $203.62 / $354.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.40 / $349.31 / $756.02
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$52.13 / $113.47 / $283.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.75 / $301.75 / $301.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.19 / $455.73 / $794.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.75 / $983.97 / $2,193.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.00 / $1,033.59 / $1,814.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.19 / $455.73 / $794.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.75 / $895.95 / $1,804.00
Providence
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$144.07 / $144.07 / $268.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.04 / $837.00 / $2,308.73