go back

New Jersey 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
$30.90 / $40.74 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $47.86 / $83.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $60.26 / $77.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $13,803.84 / $19,498.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $58.88 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $38.02 / $67.61