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North Carolina 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
$338.31 / $2,145.57 / $5,487.15
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$90.16 / $90.16 / $169.16
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$46.28 / $97.79 / $196.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.59 / $279.57 / $650.00
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$36.06 / $90.30 / $191.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.94 / $269.64 / $657.35
Ambetter
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$85.12 / $125.87 / $135.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.36 / $553.69 / $939.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.35 / $505.70 / $916.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.24 / $569.54 / $948.75
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 / $454.60
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$133.21 / $170.55 / $246.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.32 / $344.09 / $564.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.80 / $530.00 / $635.00
Medcost
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$411.40 / $411.40 / $478.20
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.21 / $1,278.65 / $1,917.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.28 / $283.11 / $590.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.00 / $475.00 / $2,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.45 / $444.53 / $912.21
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.30 / $1,040.30 / $16,394.00
Wellcare
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$717.55 / $717.55 / $717.55
Wellcare
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$179.39 / $179.39 / $179.39
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.76 / $2,208.13 / $2,840.70