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Vermont 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
$2,687.39 / $2,687.39 / $2,687.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.10 / $283.24 / $929.53
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$49.90 / $91.28 / $276.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.82 / $578.54 / $1,240.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.60 / $301.75 / $1,240.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.60 / $301.75 / $1,240.43
MVP Health Care
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$137.09 / $137.09 / $411.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.44 / $553.19 / $1,522.49