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Maine rates for HCPCS 85004

Blood count; automated differential WBC count

Facilitymedian $10 · 10th–90th $6–$600%20%40%10th90th$10Professionalmedian $6 · 10th–90th $4–$90%20%10th90th$6$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.62 / $6.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $60.26 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.72 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.91 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.61 / $9.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.46 / $7.76
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $6.46 / $13.18