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New York 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
$71.73 / $71.73 / $76.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.20 / $73.45 / $153.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $38.61 / $245.76
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.13 / $126.87 / $126.87
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.64 / $126.87 / $134.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.84 / $142.84 / $142.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.12 / $106.96 / $215.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.84 / $93.84 / $93.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.43 / $88.60 / $171.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.73 / $85.71 / $167.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.84 / $142.84 / $142.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.17 / $92.83 / $239.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.20 / $69.67 / $175.99
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.38 / $96.67 / $266.13