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Alaska rates for HCPCS 81003

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, without microscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $71.31 / $171.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $5.07 / $23.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.21 / $6.21 / $6.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.48 / $3.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $60.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $9.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $5.05 / $40.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.25 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $4.50 / $6.79