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Pennsylvania 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
$3.16 / $9.77 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.29 / $13.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.55 / $95.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $15.85 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $3.47 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.45 / $3.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $2.04 / $3.24
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.51 / $3.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $6.31 / $19.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.19 / $4.57
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $9.55 / $20.89
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $10.72 / $53.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $2.69 / $13.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.27 / $4.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.24 / $2.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.24 / $3.80