go back

California 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
$5.13 / $35.48 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.24 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.55 / $2.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $5.25 / $11.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.91 / $6.61
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $17.78 / $39.81
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.57 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $3.89 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.63 / $4.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.24 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.24 / $5.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $3.09 / $4.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.69 / $6.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.63 / $4.79
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.29 / $3.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.38 / $2.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.86 / $4.47