| DESCRIPTION |
CODE |
NATIONAL FEE LIMIT |
| CBC (with automated Hgb, Hct, RBC, WBC, platelet) plus automated diff |
85025 |
$10.94 |
| CBC as above without diff |
85027 |
$9.11 |
| Manual diff WBC (microscope) |
85007 |
$4.84 |
| Blood smear (microscope) without manual diff |
85008 |
$4.84 |
| WBC diff, automated |
85004 |
$9.11 |
| WBC, automated |
85048 |
$3.57 |
| Hemoglobin, automated |
85018 |
$3.33 |
| Hematocrit, automated |
85014 |
$3.33 |
| Platelet, automated |
85049 |
$6.29 |
|