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Hawaii rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $23.17 / $95.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $19.30 / $26.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $23.17 / $23.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.75 / $34.93 / $43.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $23.17 / $28.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $23.17 / $35.71
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $27.96 / $61.40