go back

Ohio 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
$68.18 / $73.52 / $135.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.55 / $108.43 / $198.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.90 / $95.01 / $129.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.83 / $189.83 / $189.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.70 / $83.41 / $156.69
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.83 / $189.83 / $189.83
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.44 / $87.58 / $166.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.79 / $117.12 / $158.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.72 / $97.86 / $142.58