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Missouri 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
$344.23 / $2,094.40 / $5,283.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$84.18 / $103.69 / $172.12
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$84.32 / $139.54 / $258.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.13 / $303.64 / $666.11
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$36.59 / $84.32 / $174.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.72 / $222.68 / $274.14
Ambetter
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$67.08 / $107.83 / $118.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.35 / $317.25 / $476.52
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$84.66 / $143.13 / $256.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.00 / $2,213.00 / $2,213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.75 / $301.75 / $312.37
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$133.43 / $144.07 / $268.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.45 / $344.60 / $1,065.09
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$664.86 / $664.86 / $664.86
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$166.21 / $166.21 / $166.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.99 / $618.02 / $2,208.13
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.91 / $260.91 / $517.07
Qualchoice
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$77.14 / $77.14 / $144.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $1,751.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.81 / $533.24 / $806.76