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Indiana 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.

Professionalmedian $42 · 10th–90th $34–$850%10%20%10th90th$42$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
$33.88 / $40.74 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $52.48 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $45.71 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $52.48 / $93.33