go back

Maine 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
$28.84 / $37.15 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $51.29 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $50.12 / $54.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $56.23 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $42.66 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $50.12 / $93.33