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Nebraska 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 / $41.69 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $72.44 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $93.33 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $33.11 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $52.48 / $295.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $93.33 / $117.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $117.49 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $100.00