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North Carolina 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
$71.05 / $71.05 / $76.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.94 / $74.79 / $93.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.36 / $114.02 / $177.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.28 / $50.72 / $145.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.42 / $72.95 / $127.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.89 / $96.49 / $170.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.47 / $438.47 / $438.47
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.60 / $594.52 / $781.80