go back

Oklahoma rates for HCPCS G0103

Prostate Cancer Screening; Prostate Specific Antigen Test (Psa)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.48 / $36.79 / $125.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $16.67 / $23.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $4.83 / $9.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.74 / $31.89 / $46.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.34 / $18.34 / $27.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $13.50 / $27.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $10.83 / $27.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.88 / $21.49 / $95.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.62 / $21.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $9.66 / $15.80