go back

Ohio 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
$32.36 / $40.74 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $56.23 / $107.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $44.67 / $81.28
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $43.65 / $81.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $48.98 / $77.62