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Massachusetts 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
$63.94 / $74.05 / $104.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.47 / $438.47 / $438.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.53 / $159.81 / $557.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.06 / $128.29 / $214.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.41 / $170.60 / $242.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.48 / $78.45 / $152.77
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.21 / $133.29 / $198.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.54 / $117.56 / $155.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.47 / $438.47 / $438.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.54 / $145.88 / $594.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $108.54 / $226.93