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Nationwide rates for HCPCS 80504

Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making. When using time for code selection, 21-40 minutes of total time is spent on the date of the consultation.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $43.65 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $41.69 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $47.86 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $79.43 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $43.65 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $36.31 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $47.86 / $100.00