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Idaho 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
$5.48 / $17.50 / $45.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.37 / $5.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.38 / $8.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.48 / $3.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $4.38 / $21.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $5.63 / $8.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $4.07 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.91 / $3.70