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Arizona 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.

Facilitymedian $91 · 10th–90th $62–$1580%20%10th90th$91Professionalmedian $76 · 10th–90th $56–$1780%20%10th90th$76$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $75.86 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $75.86 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $93.33 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $91.20 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $100.00 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $60.26 / $128.82