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Tennessee rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.45 / $97.41 / $185.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $17.18 / $26.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $9.66 / $12.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $20.44 / $25.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $41.62 / $71.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $10.16 / $27.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.59 / $91.72 / $95.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.42 / $41.42 / $41.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $12.65 / $25.70