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Virginia rates for HCPCS 85004

Blood count; automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $15.02 / $40.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.63 / $6.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $6.47 / $31.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.16 / $29.29 / $43.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $16.75 / $33.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.98 / $7.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.09 / $9.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $5.64 / $6.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $9.77 / $14.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $8.61 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $8.61 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.82 / $5.42