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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 | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.29 national lab fee schedule rate (2026) · View Medicare rates for 82943 |
| Medicaid Fee Schedule | $14.11 median of the 8 states in the free preview · View Medicaid rates for 82943 |
National average reimbursement for CPT 82943 by major payers:

$12.69

$10.05

$16.71

$21.15
Choose a payer to see a sample of rates for CPT 82943.
Restorative Health Rehabilitation Inc
Baycare Home Care, Inc.
Baycare Home Care Inc
Prisma Health-Upstate, Prisma Health Hillcrest Hospital Vascular Lab
Prisma Health - Upstate
Christopher Raio
Samaritan Emergency Medical Services PC
Bama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
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Rate Benchmarking
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See a sample payer proposalCPT 82943 vs. Other Chemistry Procedures Codes
The CPT 82943 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 82943 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 |
|---|---|---|
| 82941-CPT | Low | Stomach Acid Test, Gastrin Is A Hormone That Regulates Stomach Acid Secretion. This Test Measures The Amount Of Gastrin In A Blood Sample. |
| 82943-CPT | Low | Pituitary Gland Test Glucagon, This Test Measures The Reaction Of The Pituitary Gland To An Injection Of Glucagon. If The Gland (Located At The Base Of The Brain) Is Functioning Normally It Will Produce Cortisone And Human Growth Hormone. |
| 82945-CPT | Low | Test Body Fluid For Glucose, The Test Measures Joint Or Spinal Fluid For Glucose Quantity. An End-Product Of Carbohydrate Metabolism Glucose Is One Of The Bodys Energy Foods. Its Presence In These Fluids Can Indicate A Condition Or Disease. |
| 82946-CPT | Low | Glucagon Test Series, The Glucagon Tolerance Test Helps Diagnose Hypoglycemic And Insulin Conditions. A Two-Minute Glucagon Iv Injection Causes An Insulin Peak. Glucose And Insulin Levels Are Measured At Baseline And Timed Intervals. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82943. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82943 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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