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Washington rates for HCPCS 85004

Blood count; automated differential WBC count

Facilitymedian $14 · 10th–90th $6–$810%5%10%10th90th$14Professionalmedian $6 · 10th–90th $4–$80%50%10th90th$6$2.0$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
$9.55 / $26.92 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $7.59
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $12.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.75 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $14.45 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.92 / $10.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.75 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $12.59
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $8.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $11.22 / $17.78
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $9.77 / $16.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.75 / $6.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.76 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.80 / $8.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.39 / $11.75