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Kentucky 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
$174.21 / $1,703.96 / $5,320.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$77.70 / $140.51 / $267.69
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$34.22 / $107.07 / $221.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.11 / $287.52 / $535.37
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$35.04 / $82.23 / $165.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.74 / $211.53 / $233.53
Ambetter
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$90.53 / $91.50 / $161.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,296.00 / $4,059.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.90 / $326.23 / $383.80
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$120.43 / $236.39 / $311.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.83 / $169.22 / $245.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $245.37 / $424.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.68 / $243.68 / $243.68
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
$220.34 / $301.75 / $542.03
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$49.44 / $105.45 / $215.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $253.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.00 / $790.00 / $2,410.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.29 / $471.33 / $645.90
United
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$88.55 / $137.13 / $160.38