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Utah rates for HCPCS 81003

Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $18.25 / $59.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.96 / $2.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.35 / $52.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.48 / $3.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.88 / $3.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.59 / $10.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.90 / $2.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.90 / $2.25