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North Carolina rates for HCPCS 85004

Blood count; automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $19.67 / $51.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.60 / $6.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $27.00 / $27.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $6.85 / $16.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $6.97 / $9.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.64 / $12.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $8.90 / $12.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.51 / $8.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $80.00 / $80.00