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Indiana rates for HCPCS 85004

Blood count; automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $10.09 / $57.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $5.60 / $6.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.11 / $6.14 / $19.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.19 / $4.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $7.76 / $8.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $7.44 / $9.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.74 / $6.47 / $16.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $7.43 / $17.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $5.58 / $5.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.89 / $6.47