go back

New Jersey rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $36.11 / $106.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $16.55 / $21.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $11.04 / $12.78
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.19 / $177.14 / $713.14
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $33.36 / $74.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $40.15 / $88.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $12.01 / $27.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $10.62 / $15.45
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $13.52 / $14.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.62 / $10.62 / $10.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.59 / $20.85