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Massachusetts rates for HCPCS G0103

Prostate Cancer Screening; Prostate Specific Antigen Test (Psa)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.52 / $69.83 / $137.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $17.52 / $26.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.78 / $26.58 / $95.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $19.30 / $47.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $51.61 / $90.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $23.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $27.75 / $62.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $21.38 / $27.66
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $32.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $35.14 / $64.11
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $23.52 / $24.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.51 / $95.74 / $95.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $12.34 / $38.84
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.73 / $21.96 / $42.95
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $19.30 / $23.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $14.00 / $36.81