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See a sample rate comparisonCPT 83030 Fee Schedule
Last Verified: September 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.
Fetal Hemoglobin Test, This Test Measures Fetal Hemoglobin Levels. Typically Fetal Hemoglobin Decreases After Birth So Its Presence In An Adult May Indicate A Bleeding Problem Disease Or Pregnancy.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 21 - Inpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83030 |
| Medicaid Fee Schedule | View Medicaid rates for 83030 |
National average reimbursement for CPT 83030 by major payers:
$8.78
$6.59
$10.45
$15.82
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CPT 83030
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$35.00Published rateJackson Parish Hospital, Jackson Parish Hospital
$10.73Published rateWillis Knighton Medical Center, Inc., Willis Knighton South Hospital
Willis-Knighton Medical Center
$10.73Published rateTexas Health Harris Methodist Hospital Fort Worth
$5.36Published rateChristus Spohn Health System Corporation, Christus Spohn Hospital Kleberg
C H Wilkinson Physician Network
$1.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83030 vs. Other Chemistry Procedures Codes
The CPT 83030 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 83030 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 |
|---|---|---|
| 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. |
| 83030-CPT | Low | Fetal Hemoglobin Test, This Test Measures Fetal Hemoglobin Levels. Typically Fetal Hemoglobin Decreases After Birth So Its Presence In An Adult May Indicate A Bleeding Problem Disease Or Pregnancy. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83030. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83030 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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