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Arizona rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.02 / $39.19 / $77.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $19.30 / $91.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $12.55 / $12.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $48.06 / $80.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $18.43 / $26.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $31.38 / $56.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $10.16 / $26.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.48 / $19.09 / $95.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.79 / $16.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.79 / $14.00