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Utah rates for HCPCS G0103

Prostate Cancer Screening; Prostate Specific Antigen Test (Psa)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.30 / $104.42 / $193.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $16.59 / $21.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.50 / $16.97 / $53.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $22.13 / $27.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.79 / $31.79 / $31.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $22.21 / $82.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.78 / $15.10 / $16.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.11 / $11.59