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Wyoming 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
$6.65 / $48.45 / $66.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.00 / $2.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.50 / $7.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.48 / $3.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.67 / $3.14