go back

Wyoming rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $123.58 / $202.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $15.06 / $19.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.54 / $32.00 / $37.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.14 / $30.00 / $62.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.38 / $38.38 / $38.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $22.13 / $27.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.62 / $25.70