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Wisconsin 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
$8.51 / $40.74 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.09 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.03 / $6.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $8.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $6.31 / $6.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $7.41 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.09 / $7.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $4.90 / $17.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $36.31 / $53.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.69 / $20.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $4.68 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.89 / $41.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $60.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.48 / $2.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $6.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.24 / $12.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.00 / $2.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.24 / $6.03