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See a sample rate comparisonCPT 0134U Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Hered Pan Ca Mrna Pnl 18 Gen, Hereditary Pan Cancer (Eg Hereditary Breast And Ovarian Cancer Hereditary Endometrial Cancer Hereditary Colorectal Cancer) Targeted Mrna Sequence Analysis Panel (18 Genes) (List Separately In A Ition To Code For Primary Procedure)(Use 0134u In Conjunction With 81162 81432 81435)
| Key Fact | Detail |
|---|---|
| Service Type | Proprietary Laboratory Analyses |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0134U |
| Medicaid Fee Schedule | View Medicaid rates for 0134U |
National average reimbursement for CPT 0134U by major payers:
$723.23
$419.09
$N/A
$1,289.19
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CPT 0134U
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,646.46Published rateChristopher Raio
St Joseph Hospital
$889.09Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$551.89Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$404.13Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$299.35Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 0134U vs. Other Proprietary Laboratory Analyses Codes
The CPT 0134U code is part of the Proprietary Laboratory Analyses services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 0134U code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 0134U-CPT | Moderate | Hered Pan Ca Mrna Pnl 18 Gen, Hereditary Pan Cancer (Eg Hereditary Breast And Ovarian Cancer Hereditary Endometrial Cancer Hereditary Colorectal Cancer) Targeted Mrna Sequence Analysis Panel (18 Genes) (List Separately In A Ition To Code For Primary Procedure)(Use 0134u In Conjunction With 81162 81432 81435) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0134U. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0134U fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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