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Maryland 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
$34.67 / $43.65 / $102.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $40.74 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $27.54 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $60.26 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $43.65 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $72.44 / $81.28