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Illinois rates for HCPCS 85004

Blood count; automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $13.07 / $34.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $5.64 / $7.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.54 / $24.21 / $90.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.98 / $6.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $16.21 / $29.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $7.85 / $10.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $11.32 / $31.65
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.56 / $8.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.97 / $7.55