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Massachusetts 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 / $43.65 / $131.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $61.66 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $67.61 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $91.20 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $43.65 / $91.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $74.13 / $109.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $64.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $61.66 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $229.09 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $54.95 / $120.23