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South Carolina rates for HCPCS 85004

Blood Count Automated Differential Wbc Count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $5.05 / $30.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.60 / $5.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $35.47 / $58.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $6.47 / $15.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.77 / $18.78 / $39.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.98 / $9.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $6.82 / $12.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $9.27 / $11.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $3.56 / $5.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.88 / $9.03