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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
$71.73 / $71.73 / $76.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $76.48 / $91.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $94.35 / $181.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.84 / $142.84 / $142.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.78 / $79.94 / $151.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.39 / $96.49 / $184.09