go back

Vermont 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
$36.31 / $43.65 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $75.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $54.95 / $79.43