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See a sample rate comparisonCPT 81517 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.
Liver Ds Alys 3 Bmrk Srm Alg, Liver Disease Analysis Of 3 Biomarkers Hyaluronic Acid Ha Procollagen Iii Amino Terminal Peptide Piiinp Tissue Inhibitor Of Metalloproteinase 1 Timp 1 Using Immunoassays Utilizing Serum Prognostic Algorithm Reported As A Risk Score And Risk Of Liver Fibrosis And Liver Related Clinical Events Within 5 Years
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Multianalyte Assays with Algorithmic Analyses |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $176.19 national lab fee schedule rate (2026) · View Medicare rates for 81517 |
| Medicaid Fee Schedule | $174.43 median of the 8 states in the free preview · View Medicaid rates for 81517 |
National average reimbursement for CPT 81517 by major payers:
$202.12
$442.85
$215.23
$310.71
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CPT 81517
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,107.48Published rateChristopher Raio
Mercy Medical Center
$598.04Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$371.23Published rateProgressive Medical Center Sc
Progressive Medical Center, S.C.
$276.86Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$176.19Published rate
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See a sample payer proposalCPT 81517 vs. Other Multianalyte Assays with Algorithmic Analyses Codes
The CPT 81517 code is part of the Pathology and Laboratory Procedures services used for Multianalyte Assays with Algorithmic Analyses. 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 81517 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 |
|---|---|---|
| 81517-CPT | Moderate | Liver Ds Alys 3 Bmrk Srm Alg, Liver Disease Analysis Of 3 Biomarkers Hyaluronic Acid Ha Procollagen Iii Amino Terminal Peptide Piiinp Tissue Inhibitor Of Metalloproteinase 1 Timp 1 Using Immunoassays Utilizing Serum Prognostic Algorithm Reported As A Risk Score And Risk Of Liver Fibrosis And Liver Related Clinical Events Within 5 Years |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81517. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81517 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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