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Maryland 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
$58.80 / $75.25 / $80.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $84.26 / $99.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $51.17 / $152.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.61 / $113.42 / $146.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.47 / $73.40 / $151.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.53 / $118.58 / $140.94