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Nebraska rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.13 / $148.41 / $250.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $16.67 / $62.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $9.66 / $12.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.68 / $29.35 / $31.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $22.53 / $27.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.37 / $95.74 / $145.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $11.59 / $38.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $27.03 / $33.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $33.92 / $52.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.01 / $11.59 / $38.61