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Maine rates for HCPCS 85004

Blood Count Automated Differential Wbc Count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $6.47 / $24.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $6.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $8.64 / $65.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $7.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $8.94 / $13.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $8.81 / $9.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $6.47 / $7.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $6.47 / $24.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $6.47 / $7.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $5.29 / $12.33