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North Carolina 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
$33.11 / $36.31 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $40.74 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $53.70 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.84 / $77.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $42.66 / $70.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $45.71 / $91.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $426.58