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Michigan 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 / $42.66 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $50.12 / $112.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $52.48 / $74.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $26.92 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $51.29 / $72.44