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North Dakota 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
$1,525.98 / $2,737.92 / $3,721.82
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$92.82 / $92.82 / $166.26
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$37.13 / $92.82 / $289.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.06 / $334.76 / $947.85
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$37.13 / $88.99 / $194.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.98 / $575.63 / $847.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.75 / $301.75 / $468.28
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$41.90 / $228.33 / $392.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.63 / $332.52 / $1,208.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.99 / $591.49 / $1,182.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.14 / $591.49 / $868.21