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Illinois 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
Professional
Modifier
Low / Median / High Price
$70.23 / $80.95 / $109.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.84 / $126.49 / $144.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.11 / $50.78 / $145.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.95 / $132.02 / $317.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $143.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.41 / $102.03 / $147.63