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Nebraska 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
$56.20 / $59.88 / $59.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.36 / $136.36 / $136.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.26 / $135.40 / $147.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.45 / $181.73 / $215.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.20 / $59.88 / $401.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.73 / $100.69 / $594.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.86 / $129.33 / $225.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.86 / $174.11 / $211.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.29 / $94.86 / $181.24