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Washington 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
$2.93 / $25.31 / $65.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.04 / $5.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.56 / $4.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $4.50 / $60.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $2.04 / $3.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $4.59 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.50 / $4.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.17 / $3.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.48 / $4.97
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.25 / $2.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $3.71 / $6.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.25 / $6.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.43 / $2.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17