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California 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
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.90 / $147.91
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $63.10 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $87.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $58.88 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $53.70 / $85.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $426.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $51.29 / $87.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $50.12 / $102.33
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $48.98 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $34.67 / $120.23