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New Mexico rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $66.53 / $91.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $22.01 / $45.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.76 / $127.90 / $207.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.85 / $15.80 / $18.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $12.55 / $12.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $19.55 / $27.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $23.17 / $23.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.34 / $23.17 / $35.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $19.30 / $19.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.95 / $11.59