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Pennsylvania rates for HCPCS 85004

Blood count; automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $17.59 / $28.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.60 / $6.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $6.47 / $6.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $42.38 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $8.63 / $21.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $7.43 / $11.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.82 / $8.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.39 / $14.74 / $75.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $5.50 / $6.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $17.59 / $28.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.64 / $15.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $9.83 / $21.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $7.43 / $11.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $6.47 / $6.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $6.47 / $8.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $5.42 / $10.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.01 / $11.84