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New York rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.98 / $46.73 / $96.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $16.67 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $9.27 / $9.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $19.30 / $50.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $11.31 / $42.41
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $19.30 / $19.30
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $19.30 / $19.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $38.86 / $49.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $10.16 / $27.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $31.86 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $11.49 / $36.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $18.34 / $21.85
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $4.72 / $4.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.60 / $31.64 / $69.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $19.80 / $19.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.47 / $40.79 / $67.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $22.13 / $39.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.59 / $29.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.67 / $21.67 / $21.67
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $19.39 / $23.71