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Virginia 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
$71.92 / $76.65 / $81.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $38.61 / $88.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $87.02 / $120.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $52.69 / $148.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.60 / $113.42 / $128.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.95 / $89.69 / $153.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $164.00 / $207.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $96.22 / $135.19
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.58 / $102.46 / $143.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.01 / $100.02 / $188.78