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Maryland 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 / $53.46 / $71.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $16.67 / $21.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.80 / $23.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $12.90 / $24.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $14.14 / $27.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $24.14 / $28.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $11.28 / $17.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $9.66 / $25.70