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New Jersey 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
$56.27 / $76.93 / $88.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $94.01 / $161.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.92 / $99.88 / $134.12
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $98.27 / $184.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.47 / $83.63 / $137.50