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Texas 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
$3.72 / $45.71 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $5.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.35 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $5.75 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.66 / $5.50
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $3.72 / $44.67
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.24 / $3.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $4.79 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.45 / $4.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.88 / $4.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $18.62 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.09 / $5.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.91 / $1.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.24 / $6.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.34 / $4.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.35 / $2.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.82 / $2.34