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Nationwide rates for HCPCS 80505

Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making. When using time for code selection, 41-60 minutes of total time is spent on the date of the consultation.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $79.43 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $77.62 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $91.20 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $144.54 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $81.28 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $66.07 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $91.20 / $186.21