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Oregon 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
$313.00 / $2,747.00 / $6,072.60
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$82.29 / $82.29 / $150.58
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$60.23 / $179.18 / $333.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.09 / $291.93 / $774.03
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$44.25 / $103.87 / $276.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.71 / $842.71 / $2,310.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.75 / $301.75 / $301.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.01 / $496.35 / $826.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$345.93 / $514.42 / $826.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.09 / $466.62 / $840.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.52 / $541.17 / $815.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.12 / $662.81 / $739.54
Pacific Source
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$278.58 / $376.26 / $702.44
Pacific Source
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$243.45 / $397.98 / $713.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.09 / $470.90 / $958.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.54 / $539.65 / $886.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.07 / $2,975.12 / $3,619.70
Regence BlueShield
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$2,392.77 / $2,392.77 / $2,392.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.51 / $552.33 / $918.00
Regence BlueShield
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$155.04 / $276.17 / $452.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.00 / $2,261.00 / $4,911.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.92 / $732.16 / $1,085.18
United
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$204.84 / $204.84 / $204.84