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Indiana rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $114.50 / $202.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $16.67 / $20.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.25 / $17.52 / $57.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $9.08 / $19.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $21.24 / $27.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $20.28 / $26.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.46 / $19.30 / $47.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $23.65 / $38.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.59 / $19.30