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New Jersey rates for HCPCS 85004

Blood count; automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $12.53 / $37.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.60 / $6.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.49
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $10.56 / $12.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $14.43 / $29.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.47 / $10.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.56 / $5.18
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $4.53 / $6.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.88 / $9.03