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See a sample rate comparisonCPT 82373 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.
Carbohydrate Deficient Transferrin
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $18.06 national lab fee schedule rate (2026) · View Medicare rates for 82373 |
| Medicaid Fee Schedule | $16.615 median of the 8 states in the free preview · View Medicaid rates for 82373 |
National average reimbursement for CPT 82373 by major payers:
$15.93
$13.57
$20.87
$26.33
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CPT 82373
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$60.00Published rateChristopher Raio
Mercy Medical Center
$23.84Published ratePrisma Health-Upstate
Prisma Health - Upstate
$16.25Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$10.60Published rateBrittany Ptachick
Hroa 401k Plan
$7.59Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82373 vs. Other Chemistry Procedures Codes
The CPT 82373 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 82373 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 |
|---|---|---|
| 82140-CPT | Low | Ammonia |
| 82330-CPT | Low | Calcium Lab Test, This Test Measures Calcium Levels Which Helps In Diagnosing Some Conditions Such As Parathryoid Disease And Chronic Renal Disease. |
| 82331-CPT | Low | Calcium Lab Test, This Test Measures Calcium Levels Which Helps In Diagnosing Some Conditions Such As Parathryoid Disease Bone Disorders And Chronic Renal Disease. |
| 82373-CPT | Low | Carbohydrate Deficient Transferrin |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82373. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82373 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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