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Missouri 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
$3.03 / $38.08 / $84.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.96 / $2.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.29 / $3.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.36 / $10.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.91 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $4.71 / $13.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.46 / $3.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $9.19 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.25 / $3.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $3.14 / $3.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.25 / $3.37