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See a sample rate comparisonCPT 82965 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.
Glutamate Dehydrogenase,
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 91 - Repeat Lab Test 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $13.15 national lab fee schedule rate (2026) · View Medicare rates for 82965 |
| Medicaid Fee Schedule | $12.095 median of the 8 states in the free preview · View Medicaid rates for 82965 |
National average reimbursement for CPT 82965 by major payers:
$10.17
$7.14
$12.32
$18.26
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CPT 82965
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$35.00Published rateScurry County Hospital District, Cogdell Memorial Hospital
Scurry County Hospital District
$15.77Published rateCanyon Atlantic
$13.14Published rateChristopher Raio
St Joseph Hospital
$7.89Published rateMolly Mcintosh
Baycare Medical Group Inc
$3.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82965 vs. Other Chemistry Procedures Codes
The CPT 82965 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 82965 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 |
|---|---|---|
| 82787-CPT | Low | Immune Deficiency Test, Igg Or Immunoglobulin G Is An Antibody That Protects From Viruses And Bacteria. This Test Checks For A Deficiency Of Any Or All Of Its Four Subclasses. |
| 82955-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. |
| 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. |
| 82965-CPT | Low | Glutamate Dehydrogenase, |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82965. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82965 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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