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Illinois 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
$274.39 / $2,396.12 / $6,946.29
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$88.96 / $137.88 / $174.66
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$84.31 / $157.46 / $267.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.76 / $313.27 / $914.85
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$37.11 / $89.10 / $196.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.59 / $211.53 / $311.92
Ambetter
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$86.88 / $90.53 / $157.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.89 / $1,393.24 / $4,091.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.31 / $385.95 / $602.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.68 / $643.00 / $1,300.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$194.94 / $194.94 / $194.94
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$48.74 / $48.74 / $48.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.75 / $301.75 / $397.10
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$88.55 / $188.76 / $246.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.01 / $348.01 / $1,221.30
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.24 / $231.28 / $452.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $179.05 / $473.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $1,963.00 / $3,932.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.85 / $501.50 / $716.92