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Wisconsin rates for HCPCS 80506

Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure)

Professionalmedian $49 · 10th–90th $35–$1450%10%20%10th90th$49$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $38.90 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $95.50 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $51.29 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $125.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $45.71 / $269.15
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $58.88 / $66.07
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $97.72 / $138.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $162.18 / $269.15
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $120.23