go back

Ohio rates for HCPCS 85004

Blood count; automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $13.70 / $19.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.60 / $6.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $7.12 / $11.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $6.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $6.47 / $8.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.41 / $8.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $6.67 / $14.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $6.61 / $11.14
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $6.67 / $24.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.20 / $10.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.82 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.88 / $9.03