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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
$6.03 / $39.81 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $5.01 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.88 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $21.38 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.39 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $4.17 / $5.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $30.90 / $60.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.24 / $4.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.04 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.24 / $3.31