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See a sample rate comparisonCPT 83012 Fee Schedule
Medicare rates as of January 2026
CPT 83012 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Blood Protein Binding Test, This Test Measures The Binding Of The Protein Haptoglobin To Hemoglobin And Reveals Whether Or Not The Body Is Maintaining A Balance Between Red Blood Cell Destruction And Production.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $26.89 national lab fee schedule rate (2026) · View Medicare rates for 83012 |
| Medicaid Fee Schedule | $24.74 median of the 8 states in the free preview · View Medicaid rates for 83012 |
National average reimbursement for CPT 83012 by major payers:
$21.26
BCBS / Anthem
$15.37
UnitedHealthcare
$25.34
Aetna
$37.55
Cigna
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CPT 83012
5 of 25 sample ratesHigher to lower in this preview
Foundation Bariatric Hospital Of San Antonio, LLC, Foundation Surgical Hospital Of San Antonio
Foundation Bariatric Hospital Of San Antonio, LLC
$60.00Published rateChristopher Raio
St Francis Hospital
$31.95Published rateHospital Service District No. 1 Of The Parish Of St. Mary, Bayou Bend Health System
Hospital Service District No 1 Of The Parish Of St Mary
$24.20Published rateChristopher Raio
St Joseph Hospital
$16.13Published rateSmithville Hospital Authority, Smithville Regional Hospital
$10.09Published rate
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See a sample payer proposalCPT 83012 vs. Other Chemistry Procedures Codes
The table lists codes related to 83012. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83010-CPT | Low | Blood Protein Binding Test, This Test Measures The Binding Of The Protein Haptoglobin To Hemoglobin And Reveals Whether Or Not The Body Is Maintaining A Balance Between Red Blood Cell Destruction And Production. |
| 83012-CPT | Low | Blood Protein Binding Test, This Test Measures The Binding Of The Protein Haptoglobin To Hemoglobin And Reveals Whether Or Not The Body Is Maintaining A Balance Between Red Blood Cell Destruction And Production. |
| 83020-CPT | Low | Blood Oxygen Capacity Test, Blood Or Urine Is Tested For Hemoglobin (Hb) A Protein That Carries Oxygen In Red Blood Cells. Excessive Amounts Of The Various Types Of Hb Are Linked To Anemia And Premature Cell Death. |
| 83021-CPT | Low | Blood Oxygen Capacity Test, Blood Or Urine Is Tested For Hemoglobin (Hb) A Protein That Carries Oxygen In Red Blood Cells. Excessive Amounts Of The Various Types Of Hb Are Linked To Anemia And Premature Cell Death. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83012. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83012 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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