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Minnesota rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $96.63 / $217.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $19.30 / $26.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $34.29 / $77.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $19.30 / $19.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.69 / $71.04 / $169.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $25.96 / $28.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.13 / $67.26 / $133.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $22.13 / $30.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.46 / $68.64 / $163.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $19.30 / $101.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $15.53 / $41.12