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Illinois rates for HCPCS G0103

Prostate Cancer Screening; Prostate Specific Antigen Test (Psa)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.85 / $99.35 / $327.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $19.30 / $35.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $12.78 / $25.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.71 / $60.64 / $163.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $14.87 / $15.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.27 / $46.18 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $21.38 / $28.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $30.90 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.10 / $25.10 / $25.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $13.25 / $24.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $12.55 / $19.89