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Michigan rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.04 / $51.97 / $129.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $19.30 / $24.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $12.78 / $36.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $21.84 / $38.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $14.48 / $19.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.48 / $19.30 / $49.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $12.55 / $19.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $22.13 / $27.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.34 / $57.71 / $164.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $24.13 / $42.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $15.99 / $21.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $15.14 / $25.89