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Indiana 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
$318.37 / $4,549.43 / $5,471.63
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$85.56 / $113.79 / $159.19
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$34.22 / $85.64 / $159.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.11 / $283.24 / $458.54
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$35.93 / $84.16 / $167.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.74 / $207.48 / $262.33
Ambetter
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$90.53 / $124.53 / $124.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,353.00 / $8,052.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.68 / $383.80 / $555.79
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$83.02 / $152.21 / $251.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.83 / $165.74 / $236.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.95 / $304.42 / $426.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.68 / $655.97 / $761.00
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 / $628.04
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$144.07 / $197.16 / $361.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.00 / $2,715.00 / $4,128.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.07 / $418.72 / $711.45
United
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$159.44 / $159.44 / $159.44