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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
$1.99 / $36.90 / $83.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.62 / $3.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $3.00 / $22.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.07 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.02 / $3.15
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $14.70 / $30.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $36.47 / $86.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.25 / $3.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.06 / $4.44