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Idaho rates for HCPCS 85004

Blood Count Automated Differential Wbc Count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.67 / $16.82 / $21.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $12.62 / $12.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $6.86 / $25.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $7.43 / $9.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $10.73 / $13.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $6.47 / $7.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $6.47 / $6.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.71 / $14.56 / $23.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $11.06 / $11.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.85 / $10.64