go back

Pennsylvania rates for HCPCS 81005

Urinalysis; qualitative or semiquantitative, except immunoassays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $5.95 / $9.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.16 / $3.88
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $14.17 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $2.89 / $7.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.48 / $3.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.28 / $2.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $16.95 / $21.00
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $5.90 / $9.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.50 / $8.96
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $3.30 / $7.61
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.48 / $3.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.17
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.17 / $3.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.17 / $3.79