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Nebraska 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
$6.16 / $38.95 / $168.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.00 / $8.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $26.57 / $51.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $3.41 / $3.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $18.00 / $18.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.10 / $4.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $28.06 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.25 / $4.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $4.55 / $7.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $4.98 / $6.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.25 / $4.50