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South Carolina rates for HCPCS G0103

Prostate Cancer Screening; Prostate Specific Antigen Test (Psa)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.69 / $82.41 / $244.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $19.30 / $28.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $20.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $73.94 / $128.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $30.00 / $46.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $55.97 / $110.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $22.13 / $51.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $23.17 / $35.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.29 / $26.34 / $27.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $10.62 / $15.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.59 / $23.17