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Washington 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
$30.20 / $41.69 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $51.29 / $69.18
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $77.62 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $79.43 / $131.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $104.71 / $104.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $109.65 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $91.20 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $46.77 / $104.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48