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Previous Volume 346:1672-1674 May 23, 2002 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Ransohoff and Sandler (Jan. 3 issue)¹ underestimate the cost of colonoscopy. Medicare reimbursement to the physician may average $380, but the total cost is much higher if reimbursement to health care professionals and the hospital are considered. In my small community, Medicare reimburses physicians $172 for screening colonoscopy, and the hospital receives $395 for procedural costs. The total reimbursement ($40) for screening flexible sigmoidoscopy is paid to the endoscopist, because there is no associated fee for the procedure.

Patients' compliance with recommendations for sigmoidoscopy may also be underestimated. I found that more than 42 percent of men . . . [Full Text of this Article]

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