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Washington, DC 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.

Professionalmedian $20 · 10th–90th $16–$450%20%10th90th$20$0.0$0.1$0.5$2.0$10.0$50.0

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
$15.85 / $19.95 / $44.67
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.49 / $97.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $48.98 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.39 / $77.62