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Pennsylvania 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.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $32.36 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.42 / $56.23
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $27.54 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $35.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $37.15 / $48.98
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $29.51 / $51.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $23.44 / $26.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $32.36 / $39.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.91 / $75.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $46.77 / $50.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $25.70 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $23.44 / $38.02