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Connecticut 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
$1,036.11 / $4,884.27 / $8,031.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$117.00 / $117.00 / $196.58
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$46.80 / $78.63 / $196.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.09 / $283.24 / $553.16
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$44.25 / $90.67 / $196.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,395.00 / $4,998.99 / $8,848.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.66 / $394.52 / $734.48
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$95.04 / $197.27 / $428.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.82 / $1,020.00 / $3,600.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.75 / $301.75 / $301.75
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$144.02 / $144.07 / $268.16
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.58 / $809.30 / $1,135.28
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.95 / $564.14 / $680.43
ConnectiCare
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$204.48 / $282.07 / $340.21
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.04 / $2,027.04 / $2,027.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.34 / $390.60 / $566.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.00 / $4,210.00 / $6,535.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.89 / $516.04 / $1,206.28