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Indiana 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
$2.25 / $22.43 / $81.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.96 / $2.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $2.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.25 / $6.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.66 / $2.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.48 / $3.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.36 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.25 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.48 / $5.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $2.25 / $3.28