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Wisconsin 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 / $52.48 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.02 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $8.51 / $8.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $12.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $8.91 / $8.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.47 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.68 / $10.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $6.92 / $25.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $44.67 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $4.37 / $28.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $11.22 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $7.76 / $19.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $60.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.14 / $3.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $10.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.82 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $3.16 / $8.51