go back

New York rates for HCPCS 85004

Blood count; automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $11.32 / $26.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $5.64 / $6.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $6.47 / $16.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.88 / $13.91
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $6.47 / $6.47
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $6.47 / $6.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $13.43 / $62.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $8.97 / $55.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $9.71 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.85 / $11.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $3.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $6.15 / $8.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $16.18 / $86.35
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $9.11 / $13.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.88 / $9.71
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $7.44 / $23.83
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $7.00 / $10.52