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North Carolina rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.89 / $73.61 / $131.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $19.30 / $55.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $12.78 / $25.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.79 / $76.73 / $76.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $12.55 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $19.47 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.45 / $23.39 / $43.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.45 / $18.88 / $35.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.76 / $26.34 / $27.82
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.83 / $233.83 / $233.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $12.85 / $25.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.59 / $91.72 / $95.74