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Kentucky 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
$34.67 / $34.67 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $41.69 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $37.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $60.26 / $81.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $60.26 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $34.67 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $54.95 / $89.13