go back

Montana rates for HCPCS 81001

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $58.88 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.80 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $64,565.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $5.37 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.72 / $4.68
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $4.47 / $9.77
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.47 / $9.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $5.37 / $18.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $4.37