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PSA total (prostate specific antigen)

2020 CPT/HCPCS Primary Code 84153
Negotiated Private Fee $33.00
Prossam $35.00
Champva $18.39
First Medical $32.00
First Medical Vital $17.54
Plan de Salud Menonita $22.00
Menonita Vital $17.54
Humana Gold plus/ Gold choice $18.39
Humana $30.00
Mapfre $58.00
Mcs Classicare $18.39
MCS Life $28.00
Medicare $18.39
MMM $26.06
MMM Vital $15.90
Panamerican Life $45.00
PMC $26.06
Tricare $18.39
Triple S Salud $35.00
Triple S Vital $27.36
Triple S Advantage $45.42
Negotiated Minimum Charge $15.90
Negotiated Maximus Charge $58.00
Discounted Cash Price $26.40

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