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Arizona rates for HCPCS 85004

Blood count; automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $12.94 / $25.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $5.60 / $7.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $4.21 / $4.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $14.22 / $23.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $5.45 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $10.53 / $18.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $7.43 / $9.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $5.64 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.80 / $5.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.70 / $5.18