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Utah 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
$13.49 / $40.74 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.75 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.31 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $4.57 / $6.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $11.48 / $16.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.69 / $2.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.16 / $10.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.16 / $6.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.58 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.69 / $4.37