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CostHelper > Health & Personal Care  > Tests, X-Rays & Imaging > Colonoscopy

Colonoscopy Cost


How Much Does a Colonoscopy Cost?

 
average costWith Insurance Coverage: Copay, Coinsurance and Deductibleshigh costHigh: Without Insurance Average $3,081
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A colonoscopy is a screening test for colon cancer. It is recommended that people of average risk get a colonoscopy or other type of screening every 10 years starting at age 50. People at high risk should begin screening earlier, and sometimes more often, according to the American Cancer Society[1] .

Typical costs:

  • For those not covered by health insurance, the cost of colonoscopy varies by provider and geographic region, usually ranging from $2,010 to $3,764, with an average of $3,081, according to Blue Cross Blue Shield of North Carolina.
  • A colonoscopy often is covered by health insurance if the patient has symptoms that warrant it or if the patient meets age and risk criteria. According to the 2012 Colorectal Cancer Legislation Report Card[2] , 31 states have laws mandating colonoscopy coverage.
  • For patients covered by health insurance, out-of-pocket costs can range from zero to more than $1,000, depending on deductibles, copay and coinsurance amounts. For example, a Medicare patient at Dartmouth-Hitchcock Medical Center[3] would pay $1,477, including deductibles and coinsurance. However, some insurance plans, such as the Blue Cross Blue Shield of Michigan[4] Community Blue PPO plan, cover "wellness" screenings 100 percent, with no deductible or copay, usually with some restrictions.
Related articles: Mammogram, Pap Test, Virtual Colonoscopy, Biopsy

What should be included:
  • During the procedure, the patient is sedated, then the doctor uses a flexible tube with a camera and light on it -- a colonoscope -- to examine the rectum and inside the full length of the colon.
  • If anything suspicious is found, the doctor can take a sample for biopsy.
  • The American Gastroenterological Association[5] has an overview of the procedure.
  • The American Academy of Family Physicians[6] has a primer on colorectal cancer screening.
Additional costs:
  • If polyps need to be removed during the procedure, the cost increases.
  • A new procedure called "virtual colonoscopy," an X-ray test that checks for colon cancer, is available. However, it is more expensive and does not detect very small polyps as reliably as a conventional colonoscopy. It is not yet considered an equal alternative to the colonoscopy.
Discounts:
  • Some government programs, hospitals and organizations provide free or low-cost screening colonoscopy for uninsured or underinsured individuals. For example, these programs provide services in New York City[7] .
  • Flexible sigmoidoscopy, which does not require sedation and can be performed in a doctor's office in 20 minutes or less, costs about $100 to $300, with an average of $200, according to The Kentucky Cancer Consortium[8] and the Action Plan on Colorectal Cancer for the State of Texas. However, it can cost significantly more -- up to about $1,500 if performed in a hospital, which would charge a facility fee. The disadvantage of flexible sigmoidoscopy is that the doctor only is able to view half of the colon, and it is recommended every five years instead of every 10. Studies have shown that the colonoscopy can detect cancers and pre-cancerous lesions that sigmoidoscopy cannot; however, cost and invasiveness make colonoscopy impractical for some.
Shopping for a colonoscopy:
  • If you have a regular doctor, ask for a referral to a gastroenterologist. Otherwise, a gastroenterologist should be board certified in internal medicine by the American Board of Internal Medicine[9] and should have at least an additional two to three years of training on the GI tract.
  • Risk factors for colon cancer include being over 50, a family history of the disease and a personal history of inflammatory bowel disease, according to the American Cancer Society[10] .
  • The most common side effect of a colonoscopy is cramping and discomfort. Rarely, complications such as perforation of the bowel, requiring surgical repair, can occur.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments

Page 5 of 5   -   << Previous   1   2   3   4   5   

Miffed
Amount: $10.80
Posted by: Dennis Jager in St. Petersburg, FL.Posted: May 28th, 2014 08:05PM
Clinic or Doctor: HospitalInsurance Carrier: Mich Blue Cross/ Blue Shield
Type of Policy: Hospital Dr.
63 years old, First clonoscopy, No polups, BC/BS told Hospital that I was covered but when I came back with no problems they denied coverage. Said that "cancer screening" wasnt a benefit. Bill is $10,800. Can anyone direct me to help??
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First Colonoscopy, one polyp removed
Amount: $950.00
Posted by: Grace in Bay Area in San Francisco, CA.Posted: May 22nd, 2014 07:05PM
Clinic or Doctor: Dr. Jesse Liu, SF Endoscopy CtrInsurance Carrier: Anthem Bronze
Type of Policy: Covered California
Like most people, I asked Anthem and the Endosc Ctr several times if this was 100% covered. "Yes, if this is your first time over 50+ years old." Doctor found 1 rectal polyp.
SF Endoscopy Center $2,530 covered.
Anesthesia $1,040 covered.
Colon Biopsy by Dr. $950 not covered.
Now I am stuck with the $950 bill. I will call to see if there is anything I can do to reduce the bill. What a shock!
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colonoscopy
Amount: $150.00
Posted by: TOME in Nanning, Other.Posted: April 10th, 2014 05:04PM
Clinic or Doctor: Peoples Hospital of GuangxiInsurance Carrier: None
Type of Policy: None
My entire cost was US $150.00, paid up front, all cash, no insurance. The US medical system is a rip-off. US hospitals should be forced to post all charges online and in the hospital BEFORE any procedure is performed.
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colonoscopy
Amount: $0.00
Posted by: Colonoscopy in Macon, GA in Macon, GA.Posted: February 4th, 2014 09:02AM
Clinic or Doctor: Colorectal CenterInsurance Carrier: Multi Health Plan
Type of Policy: lousy, limited
My insurance covers the doctors cost, but not the hospital , and for the insurance to cover the doctors fees it has to be performed at a hospital. The hospital fees are over 4000.00, not including lab, and no one can quote me an anesthesiologists fees. I am self employed, and was forced to get the insurance with Obamacare or else be fined. It doesn't cover much, and they can circumvent everything, no deductible, no co payments, yet no coverage. If they find anything than it is not considered a wellness screening and they don't pay for the colonoscopy. I was told by the Coliseum hospital I will be billed first with insurance fees, so I don't know if I will be responsible for the 4000, or the 78% discount if I didn't have insurance, because I do have insurance. Think I may have it done overseas.Thank you Obamacare, you've made it worse for most Americans!! I eat a high fiber, low fat diet, do not have high BP, nor diabetes, have the ideal bodyfat percentage for my age, gender and wt/ht.
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colonoscopy
Amount: $20.00
Posted by: Jozif D. in Charlotte, NC.Posted: January 13th, 2014 01:01PM
Clinic or Doctor: Carolinas Healthcare SystemInsurance Carrier: Horizon BCBS New Jersey
Type of Policy: EPO
I just had to pay for the specialist copay. I was covered for the procedure 100% because of Wellness Benefits.
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Colonoscopy
Amount: $2,000.00
Posted by: Carolyn Peterson in Burlington, IA.Posted: November 10th, 2013 12:11AM
Clinic or Doctor: DoctorInsurance Carrier: United Health
Type of Policy: PPO
Outpatient Colonoscopy and EGD same day surgery
Doctor bill: $3,294.00
Hospital $8,197.00
Radiology $347.00
EGD $1,325.00
Anesthesia $800.00 Dr. stated he needed to call on in because I was not under enough. If so why could I not hear him speak?????
Billed unknown charges with no explanation
Each snip of the polyp's was $1,382.75 times 4. You are already under whether it is one snipe on more.
My insurance company and hospital yet to call and try to make heads or tails out of reading all these explanations and codes for them. I will keep them on the phone for each one. They no doubt will be glad to hung up.
My was done in late 2013 costs.
Really sad you have to study the long sheet of costs for over two days.
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Routine Colonscopy
Amount: $40.00
Posted by: Sointense in Setauket, NY.Posted: July 2nd, 2013 11:07AM
Clinic or Doctor: Dr. ComanInsurance Carrier: Cigna
Type of Policy: HMO
Was billed $10,000 Cigna paid 582.42
Surgeon $6,500 Cigna paid 564.55
Supplys $3,500 Cigna paid 17.87
I paid a copay of $40.00
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Colonoscopy
Amount: $400.00
Posted by: Mike - Lake Tahoe in South Lake Tahie, CA.Posted: June 5th, 2013 06:06AM
Clinic or Doctor: BartonInsurance Carrier: Medicare
Type of Policy: A,B
I have regular Medicare, no supplement, I had a little less than $400 in four separate bills. I had a colonoscopy and complete blood work.
It was not free as advertised but better than the results posted here.
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Colonoscopy
Amount: $20,351.80
Posted by: dougl99 in Houston, TX.Posted: June 2nd, 2013 04:06PM
Clinic or Doctor: Memorial HermanInsurance Carrier: Cigna
Type of Policy: PPO
Hospital was $17328.80 Surgeon $1895rnAnesthesia $800 Initial visit $330rnrnMy portion is $2727.53 I'm thinking it would be cheaper w/out insurance.
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colonoscopy
Amount: $20.00
Posted by: a user in California in Baldwin Park, CA.Posted: May 25th, 2013 09:05AM
Clinic or Doctor: KaiserInsurance Carrier: Kaiser
Type of Policy: HMO
One small polyp was found. The entire procedure was covered by my insurance. I only paid my deductible, which is $20.00.
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polyp finding during preventive
Amount: $2,600.00
Posted by: Teri Haus in Flemington, NJ.Posted: May 21st, 2013 10:05AM
Clinic or Doctor: Hunterdon GastroenterologyInsurance Carrier: Amerihealth
Type of Policy: HMO
Hello I am being billed for $2600.00 for almost a year now, fighting it has been challenging since no one in customer service has been able to explain to me the reason/rationale behind it. Only on the internet have I been able to get the gist of what is likely going on in my case since they did remove one benign polyp. I do not have that $ and even if I did, I feel like I am being out right swindled and am not ready to call it a day yet. My handbook says nothing about any type of minor finding (polyp) rendering the preventive nature of the claim null and void. Additionally, the doctor who ordered the test said these preventive procedures are covered 100%, which I checked my handbook for, and the office never warned me of this possibility, though after the fact, a woman in billing said they had been seeing this kind of thing happening. What?! And you never felt the consumer ought to know?! Violation of consumer rights going on, no question.
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Colonosocpy
Amount: $500.00
Posted by: koller in Huntington Beach, CA.Posted: May 17th, 2013 10:05AM
Clinic or Doctor: Talbert medical groupInsurance Carrier: Healthcare partners
Type of Policy: HMO
this was just my co pay - they wouldn't tell me what the total procedure costs. 3 years ago it was only $200
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Being fully sedated before start o procedure.
Amount: $0.00
Posted by: J. L. Smith in Freeport, NY.Posted: April 29th, 2013 06:04AM
Clinic or Doctor: Dr, officeInsurance Carrier: MedicaFull medicalre & AARP
Type of Policy: full medical?
Had first at age 62 in 1992, another around 204, then starting in 2908 and then every year until 2011. After last one I was told I had pre-cancerous conditions and my next one would be in 5 years? I take aspirin, plus other meds for high blood pressure. Have not been contacted since last visit. Have appointment in few days with new specialist for consultation. Last Dr. said I should stop aspirin because of internal small bleed. About 4 years ago DR. started to sedate me, before I had no problems and found watching procedure on monitor fascinating. Have been told by my heart DR. its now standard in "this area". I don't like it and it effects the cost.
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Colonoscopy
Amount: $900.00
Posted by: a user in Peoria, IL.Posted: April 5th, 2013 08:04AM
Clinic or Doctor: Dr. Williamson; Methodist Medical CenterInsurance Carrier: United Health/Golden Rule
Type of Policy: PPO
We are still waiting for final outcome on hospital bill; this site is very helpful. Our diagnostic colonoscopies were 5 years ago when I was working and covered by insurance through my workplace; little to no cost at that time. Mine was fine, so no need for another for 10 years and will be on Medicare by then. My husband had 5 polyps removed and had to go back this year (5 years later) for follow up. We are now under private insurance that can only be described as catastrophic coverage--$10,000 deductible--and insurance says colonoscopy for him is pre-existing condition. We knew they wouldn't cover follow-up but not doing follow up is a risk we weren't prepared to take. First hospital bill was just over $4,300 which reflected a $2,300 "discount" because it is a self-pay. They encouraged us to file for charitable assistance, so we are waiting to see how much more they knock off. We have already paid the physician and anesthesiologist for a total of just over $900 out of pocket.
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colonscopy
Amount: $7,281.52
Posted by: L.H.H. in St James, MN.Posted: March 26th, 2013 10:03AM
Clinic or Doctor: St James Hospital, St James, MinnesotaInsurance Carrier: Blue Cross
Type of Policy: Blue Cross
My Wife had a routine Colonscopy, in and out in an hour. Total cost was $7281.52. We paid the $5000 deductable on our policy and Blue Cross paid the rest. The cost blew me away. How can they justify these costs?
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Colonoscopy
Amount: $11,000.00
Posted by: yep in BRidgeport, CT.Posted: March 20th, 2013 04:03PM
Clinic or Doctor: Bridgeport HospitalInsurance Carrier: Anthem
Type of Policy: PPO
explanation of benefits statements total over $11,000 WITHOUT THE SURGEONS FEES.rnfrom Bpt Hospital, $8040.00; Northeast Medical Group, $5800.00, Anesthesia, $910.00. $500.00 deductible, copay, plus 25% of remaining bill come out to $1700.00. Have not seen statement from surgeon yet.
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Mountain View Surgical Center Encino
Amount: $36,000.00
Posted by: Aidan Anderson in Encino, CA.Posted: March 11th, 2013 10:03PM
Clinic or Doctor: Dr Saleem DesaiInsurance Carrier: Anthem Blue Cross
Billed $36,000 dollars for a colonoscopy and endoscopy. Yep those numbers are correct. Appealing everything, fighting the entire bill. I recommend never going either the facility or doctor. My lawyer suspects the doctor has a share in the company. Unbelievable unethical.
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HMO, Cedars Sinai w/ polyp
Amount: $710.00
Posted by: a user in Los Angeles, CA.Posted: March 9th, 2013 06:03PM
Clinic or Doctor: Cedars SinaiInsurance Carrier: Anthem BlueCross
Type of Policy: HMO
The total "list price" was $10,016 (!) - $1,575 for the young doctor and $8,440 for the operation. The actual (in-network) rate was $3,890 - $343 for the doctor and $3,550 for the operation. My co-pay for this policy is 20%, so my out-of-pocket expense was $710.

So I'm on the expensive end of out-of-pocket expenses, and they found 1 tiny polyp. On the plus side, this is a work-paid insurance policy, and Cedars-Sinai is considered a pretty darn good hospital (which is why I signed up with them). Oh and it's good to know you don't have colon cancer!

I just hope that this is it, and I don't suddenly find additional bills in my mailbox from the anesthesiologist / biopsy lab.
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Colonoscopy costs!!!
Amount: $0.00
Posted by: a user in Kalamazoo, MI.Posted: February 7th, 2013 09:02AM
Clinic or Doctor: Insurance Carrier: Priority Health
Type of Policy: PPO
Had my Colonoscopy the end of November 2012...THANK GOODNESS I had already met my deductible...Insurance was billed $13,000, which they reduced as "reasonable & customary" costs to $8,300 which I feel is totally out of control!!! Needless to say I WILL NOT be having this done again.....EVER!!! rnrnBEWARE - I was told this procedure would run approx $1,200 (What a farce....how does $1,200 turn into $13,000 with insurance paying $8,300?
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Colonoscopy
Amount: $20.00
Posted by: AmaMama in Seattle, WA.Posted: February 6th, 2013 11:02AM
Clinic or Doctor: Group Health SeattleInsurance Carrier: Group Health
Type of Policy: HMO
Have had many colonoscopy procedures due to Ulcertive Colitis, all covered except for $20 co pay. Switched insurance to BCBS thru my employer. Called to ask about colonoscopy procedures, was told free if preventive, or full cost if they 'find anything'? What? So, I won't know what I will be paying for until after the procedure? I won't be having a colonoscopy this year.. I'll be waiting until I can go back to Group Health in 2014 annual enrollment. Hope I don't regret it.. very disappointing process.
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Cost in 2013 with HSA Coverage - 'hospital' fees outrageous
Amount: $3,200.00
Posted by: Jan in Des Moines in Des Moines, IA.Posted: February 1st, 2013 05:02AM
Clinic or Doctor: Mercy West W.Des MoinesInsurance Carrier:
Type of Policy: HSA
The dr fee was quite reasonable $616, but the hospital clinic ridiculous at $4,400 for a easy procedure, not polyps. I paid because there was a concern noted by physician so it was diagnositc, not on my regular 10 year schedule. I had google'd in advance and was expecting $1700 fee! I am quite surprised and disgusted with the medical clinic and plan to pursue with them.
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Cost of a colonoscopy in 2010
Amount: $600.00
Posted by: ttim in Canton, OH.Posted: November 30th, 2012 07:11PM
Clinic or Doctor: FahmyInsurance Carrier: none
Type of Policy: none
This doctor charges for his service $1100. I heard the average insurance pays the doctor $500. I offered $600 cash in advance and his office accepted. The Hospital service was about $1700 but was excused.
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misrepresentation of a colonoscopy
Amount: $1,105.98
Posted by: SCD in Boston in boston, MA.Posted: October 23rd, 2012 07:10AM
Clinic or Doctor: Boston MaInsurance Carrier: United Health Care
Type of Policy: Comprehensive w/3000.00 deductible
I did my homework. I looked at the informaton on the United Health Care website under colonoscopy. The only information I could find said simply "free preventitive care, covered 100%" I then called them twice to confirm that all charges would be covered 100% and was repeatedly told "yes". At the hospital, the nurses told me twice that any polyps that are found would be removed as part of the procedure. It wasnt until I recieved a bill in the mail that this "free" procedure was going to cost me $1457.00 for a polyp removal! When I questioned this , they explained that polyp removal is considered a separate procedure. REALLY? I am under anistesia and unaware that they are doing a separate procedure. Shouldnt they require my ok on that? This is what I call gross misrepresentation...
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Misinformation about Insurance coverage
Amount: $0.00
Posted by: a user in Portland, OR.Posted: October 22nd, 2012 02:10PM
Providers are incorrectly coding the ENTIRE colonoscopy as "diagnostic" if they find a polyp, etc. Only that portion related to the polyp should be coded as diagnostic and the rest should be coded as preventative. Insurance companies will say "We can't force providers to code correctly", which is bogus because if a provider overbilled, they'd be the first to take action. We pay high monthly rates with ever increasing high deductables, and end up with less than what we are entitled to. There must be a watchdog group that can force insurance companies to enforce our policy coverage.. In the meantime, request a "Predetermination of Benefits" of your insurance co. BEFORE the procedure so nothing is left to question after the fact. Again, the insurance company will resist doing anything that holds them accountable, but ask for it nonetheless. It's our only protection at the moment.
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paid out of pocket
Amount: $1,300.00
Posted by: dede in Houston, TX.Posted: October 1st, 2012 12:10PM
Clinic or Doctor: Dr. WinstonInsurance Carrier: none
Type of Policy: none
I don't have insurance so I paid out of pocket $1300.00 and $150.00 for the initial office visit. Thank God nothing was found. Each follow up visit after is $75.00 but I only went for the initial.
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Prices of a double dip.
Amount: $8,500.00
Posted by: James P in Albany, GA.Posted: September 28th, 2012 10:09AM
Clinic or Doctor: Albany GAInsurance Carrier: BCBS
This whole medical system is a disgrace, people moan about Obama care but in reality is the present setup fair. The charges on here make one wonder how they come up with a price. My late Father was an doctor in England, the system back home may not be perfect, but at least it does not involve daylight robbery. The current system is based around greed, not health care. I was billed $8500.00 for a double dip, in and out in forty minutes. I have a brother who came here because of the money doctors make, he has turned into a greedy Judas. Complains about middle of the night calls where he says he will not get paid. My old man was always having to spend half a night, once a week in the Hospital when he was on call, he never ever complained never, came back at breakfast time, showered, changed clothes, ate breakfast, then took me to school on his way back to the Hospital for a full day's work.
This country needs to wake up regarding health care robbery. The procedures need a price regulation
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Colonoscopy is not preventive care if polyp is found!
Amount: $1,374.25
Posted by: Jill Bock in Clinton Twp, MI.Posted: September 21st, 2012 11:09AM
Clinic or Doctor: Tri-County GastroenterologyInsurance Carrier: HAP-AllianceHealth
Type of Policy: 3000.00 deductible
HAP's policy toward colonoscopy is considered preventive but if polyp is found it will be considered diagnostic and the patient will have to pay the whole cost from deductible which is outrageous!!! I don't understand why can't HAP just pay for the colonscopy and let the patient pay for other expense if polyp is found!
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Re: Colonoscopy-Virtual
Amount: $0.00
Posted by: Stephen Curran in SJC, CA.Posted: June 7th, 2012 09:06AM
Type of Policy: none
Dr. Bortz, rnrnThank you for your feedback. We have reviewed our source materials and believe our article accurately reflects options for our readers. We are aware conditions may vary, and that is why we recommend readers consult their personal physicians before making a medical decision. Our comments section is designed as forum for readers to share their personal experiences, and we encourage comments that foster productive conversation. rnrnSincerely, rnrnStephen CurranrnEditor, CostHelper.com
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External Resources:
  1.  www.cancer.org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-detection
  2.  c208372.r72.cf0.rackcdn.com/FINAL%202012%20Report%20Card.pdf
  3.  patients.dartmouth-hitchcock.org/billing_questions/charges_for_healthcare_services.html
  4.  www.bcbsm.com/pdf/medicare/2013/R001893_MA_PreventiveBenefits_CB12476_MAR12_10_web.pdf
  5.  www.gastro.org/patient-center/procedures/colonoscopy
  6.  familydoctor.org/familydoctor/en/diseases-conditions/colorectal-cancer.html
  7.  www.nyc.gov/html/doh/downloads/pdf/csi/coloncancerkit-clin-lowcostprog.pdf
  8.  www.kycancerc.org/
  9.  www.abim.org/
  10.  www.cancer.org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-risk-factors
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