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Wisconsin rates for HCPCS 85004

Blood Count Automated Differential Wbc Count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $14.43 / $153.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.64 / $7.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $16.82 / $17.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $26.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $17.55 / $18.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.02 / $21.06 / $32.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $17.42 / $19.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $5.76 / $7.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $5.82 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $6.47 / $17.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $12.69 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $5.76 / $7.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $15.84 / $22.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.94 / $12.94 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.25 / $6.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $6.65 / $13.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $6.65 / $35.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $5.32 / $16.02