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Missouri rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.21 / $71.29 / $141.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $16.80 / $28.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $20.28 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $19.30 / $35.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.24 / $40.50 / $102.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $10.16 / $22.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.88 / $29.54 / $95.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $13.63 / $23.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.59 / $25.70