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Montana rates for HCPCS 81000

Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.93 / $52.17 / $64.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.15 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $77,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $7.84 / $11.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $5.68 / $5.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $6.83 / $11.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $3.62 / $5.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.41 / $4.34