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Louisiana rates for HCPCS G0103

Prostate Cancer Screening; Prostate Specific Antigen Test (Psa)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.72 / $88.40 / $141.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $19.30 / $25.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $12.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $40.92 / $68.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $19.30 / $22.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $19.30 / $19.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $51.27 / $113.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $10.16 / $22.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.79 / $28.73