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Vermont rates for HCPCS 85004

Blood Count Automated Differential Wbc Count

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $11.30 / $11.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.84 / $50.18 / $115.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $10.84 / $10.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $7.43 / $10.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $10.84 / $10.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $7.43 / $10.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $5.42 / $12.66