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Montana rates for HCPCS 85004

Blood count; automated differential WBC count

Facilitymedian $10 · 10th–90th $8–$370%20%40%10th90th$10Professionalmedian $6 · 10th–90th $4–$110%20%10th90th$6$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $10.96 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $7.41 / $9.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $9.12 / $19.95
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.12 / $19.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $10.96 / $37.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.72 / $9.12