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Arizona rates for HCPCS 80503

Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making. When using time for code selection, 5-20 minutes of total time is spent on the date of the consultation.

Facilitymedian $24 · 10th–90th $15$420%20%10th90th$24Professionalmedian $19 · 10th–90th $13$510%20%10th90th$19$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.38 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $23.44 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $41.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $27.54 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $17.38 / $38.90