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Washington, DC rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.48 / $65.75 / $128.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $14.48 / $14.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $80.44 / $183.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.38 / $32.63 / $70.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $22.13 / $27.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $39.25 / $39.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.59 / $17.57