go back

Massachusetts 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
$3.80 / $16.60 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.04 / $13.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.16 / $60.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.24 / $4.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $5.75 / $9.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $3.55 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.88 / $3.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $13.80 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.95 / $4.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $6.76
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $4.17 / $30.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.16 / $60.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.24 / $4.79
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.51 / $5.13
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.29 / $3.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $2.24 / $3.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.24 / $5.37