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New Hampshire rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $135.00 / $193.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $17.52 / $67.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.76 / $37.38 / $87.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $12.55 / $14.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.05 / $93.00 / $108.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $10.16 / $27.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.21 / $34.32 / $91.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.59 / $15.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $19.75 / $29.60