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South Dakota 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
$38.90 / $45.71 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $70.79 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $58.88 / $83.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $97.72 / $331.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $93.33 / $102.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $38.90 / $107.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $104.71 / $123.03