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Maine 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
$2.24 / $35.48 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.24 / $9.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $20.89 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.35 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.09 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.75 / $3.09
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $36.31 / $79.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.63 / $6.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.29 / $4.57