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Virginia 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
$33.11 / $40.74 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $44.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $43.65 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $28.84 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $70.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $46.77 / $83.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $51.29 / $87.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $54.95 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $104.71