go back

Wyoming 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
$325.77 / $2,042.04 / $3,869.68
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$87.68 / $89.52 / $168.71
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$35.07 / $67.48 / $168.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.25 / $409.88 / $1,604.70
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$36.85 / $72.04 / $177.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.00 / $734.00 / $1,371.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.01 / $301.75 / $335.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.56 / $656.82 / $1,346.79