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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.70 national lab fee schedule rate (2026) · View Medicare rates for 82746 |
| Medicaid Fee Schedule | $14.515 median of the 8 states in the free preview · View Medicaid rates for 82746 |
National average reimbursement for CPT 82746 by major payers:

$12.49

$10.39

$18.39

$21.15
Choose a payer to see a sample of rates for CPT 82746.
Nizar Charafeddine
Louis Wilson
Wichita Falls Gastroenterology Associates
William Hodges
Texas Digestive Disease Consultants
Denton Digestive Institute PLLC
Jorge Suarez
Gastromed LLC
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Rate Benchmarking
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See a sample payer proposalCPT 82746 vs. Other Chemistry Procedures Codes
The CPT 82746 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 82746 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 |
|---|---|---|
| 82668-CPT | Low | Kidney Hormone Blood Test, This Blood Test (Epo) Checks The Quantity Of Erythropoietin. The Kidneys Release The Hormone When Triggered By Low Blood Oxygen Levels. The Test Is Helpful In Assessing Anemia And Bone Marrow Disorders. |
| 82726-CPT | Low | Nerve Condition Blood Test, This Blood Test Evaluates Very Long Chain Fatty Acids (Vlcfa). It Is Used To Identify Diseases That Involve Degeneration Of Nerve Tissues And Loss Of Muscle Control. |
| 82728-CPT | Low | Ferritin Protein Test For Iron, Ferritin Is A Cell Protein That Stores Iron For Later Use. Test Results Indicate The Amount Of Iron In The Blood. |
| 82746-CPT | Low | Folic Acid Blood Test, Folic Acid Is A B Vitamin. It Affects Red Blood Cell (Rbc) Health And The Ability To Absorb And Retain Iron. Tests Measure The Total Amount Of Folic Acid In The Blood Or The Amount In Rbcs. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82746. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82746 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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The CPT 82746 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 82746 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. For specific reimbursement details or how this code applies to your particular location or payer, we recommend using a tool like Payerprice, which has a fee schedule lookup for CPT codes and specific locations.