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See a sample rate comparisonCPT 82960 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.
Enzyme (G6pd) Blood Test, G6pd Is An Enzyme Found In Red Blood Cells (Rbcs). A Deficiency Can Cause The Rbcs To Be Destroyed From A Drug Or Infection. This Deficiency Can Be Linked To Certain Types Of Anemia.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $6.05 national lab fee schedule rate (2026) · View Medicare rates for 82960 |
| Medicaid Fee Schedule | $5.975 median of the 8 states in the free preview · View Medicaid rates for 82960 |
National average reimbursement for CPT 82960 by major payers:
$5.40
$4.41
$7.02
$8.92
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CPT 82960
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
St Joseph Hospital
$7.99Published rateThe Medical Center Of Southeast Texas Lp
$6.05Published rateVhs Brownsville Hospital Company LLC, Valley Baptist Medical Center - Brownsville
$6.05Published rateLamb Healthcare Center
$3.55Published 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
$2.11Published rate
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See a sample payer proposalCPT 82960 vs. Other Chemistry Procedures Codes
The CPT 82960 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 82960 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 |
|---|---|---|
| 82757-CPT | Low | Semen Analysis For Fructose, Fructose Is Discharged From The Seminal Vesicles Along With Sperm. This Test Follows A Semen Analysis That Shows Few Sperm Present. Absence Of Fructose Indicates A Blockage In The Seminal Vesicles. |
| 82759-CPT | Low | Milk Sugar Digestion Test, This Blood Test Identifies A Deficiency Of Galactokinase An Enzyme Needed To Digest Milk Sugars. A Deficiency Is Related To Lactose Intolerance In Infants. |
| 82952-CPT | Low | Glucose Tolerance Test, Glucose Tolerance Testing (Gtt) Evaluates Carbohydrate Metabolism. A Glucose Solution Can Be Drunk Or Delivered Directly Into The Bloodstream By Iv. After This Anywhere From One To Four Or More Samples Are Measured To Assess How The Body Handles Blood Sugar. |
| 82960-CPT | Low | Enzyme (G6pd) Blood Test, G6pd Is An Enzyme Found In Red Blood Cells (Rbcs). A Deficiency Can Cause The Rbcs To Be Destroyed From A Drug Or Infection. This Deficiency Can Be Linked To Certain Types Of Anemia. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82960. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82960 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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