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Kentucky rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $114.41 / $245.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $16.67 / $21.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $24.14 / $24.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $17.38 / $20.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $9.08 / $25.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $23.17 / $27.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $23.17 / $38.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $14.73 / $33.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $22.13 / $93.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $10.62 / $10.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $15.02 / $23.17