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Utah rates for HCPCS 85004

Blood Count Automated Differential Wbc Count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $37.72 / $49.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.64 / $7.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $5.69 / $17.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $7.43 / $9.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $7.44 / $29.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $5.15 / $7.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.83 / $3.88