go back

South Dakota rates for HCPCS 85004

Blood count; automated differential WBC count

Facilitymedian $25 · 10th–90th $6–$830%10%20%10th90th$25Professionalmedian $6 · 10th–90th $5–$310%20%10th90th$6$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $39.81 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.03 / $30.90
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $6.61 / $9.77
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $12.30 / $15.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $10.00 / $24.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.47 / $9.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $16.98 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $4.47 / $11.22
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46