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See a sample rate comparisonCPT 82104 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.
Blood Immune Protein Test, Alpha 1-Antitrypsin Is A Blood Protein That Surrounds Inflammation To Protect Nearby Tissues. Inherited Lack Of The Protein Can Lead To Lung Problems Or Liver Failure. Copd And Liver Disease Can Reduce Levels As Well. Testing May Assess Genetic Dysfunctions.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.46 national lab fee schedule rate (2026) · View Medicare rates for 82104 |
| Medicaid Fee Schedule | $13.875 median of the 8 states in the free preview · View Medicaid rates for 82104 |
National average reimbursement for CPT 82104 by major payers:
$12.74
$10.36
$17.10
$21.33
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CPT 82104
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$31.81Published ratePelham Medical Center
$14.46Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
$14.46Published ratePrisma Health-Upstate, Prisma Health Hillcrest Hospital Vascular Lab
Prisma Health - Upstate
$13.01Published rateEctor County Hospital District, Medical Center Hospital
$6.07Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82104 vs. Other Chemistry Procedures Codes
The CPT 82104 code is part of the Pathology and Laboratory Procedures services used for Chemistry Procedures. 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 82104 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 |
|---|---|---|
| 82085-CPT | Low | Aldolase Enzyme Test, This Test Checks For Aldolase An Enzyme That Turns Sugars Into Energy. Aldolase Is Found In Large Quantities In Muscles Where It Helps Create Atp (Adenosine Triphosphate) A Molecule That Stores Energy For Future Use. High Levels Signal Muscle Damage. |
| 82088-CPT | Low | Aldosterone Hormone Test, Aldosterone Works With Renin A Kidney Enzyme To Regulate Salt And Potassium Levels. Because Of This Renin Often Is Measured Along With Aldosterone. Testing Can Show Problems With The Heart Kidney Liver Or Adrenal Glands. |
| 82103-CPT | Low | Blood Immune Protein Test, Alpha 1-Antitrypsin Is A Blood Protein That Surrounds Inflammation To Protect Nearby Tissues. Inherited Lack Of The Protein Can Lead To Lung Problems Or Liver Failure. Copd And Liver Disease Can Reduce Levels As Well. Testing May Assess Genetic Dysfunctions. |
| 82104-CPT | Low | Blood Immune Protein Test, Alpha 1-Antitrypsin Is A Blood Protein That Surrounds Inflammation To Protect Nearby Tissues. Inherited Lack Of The Protein Can Lead To Lung Problems Or Liver Failure. Copd And Liver Disease Can Reduce Levels As Well. Testing May Assess Genetic Dysfunctions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82104. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82104 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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