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See a sample rate comparisonCPT 83037 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.
Blood Sugar (Glucose) Test, This Test Measures Glucose Bound To Hemoglobin In Blood Samples. The Results Show An Average Of Blood Glucose (Sugar) Levels Over The Previous Three Months.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center 99 - Other POS |
| Common Modifiers | QW - CLIA Waived Tests 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.71 national lab fee schedule rate (2026) · View Medicare rates for 83037 |
| Medicaid Fee Schedule | $9.615 median of the 8 states in the free preview · View Medicaid rates for 83037 |
National average reimbursement for CPT 83037 by major payers:
$8.56
$9.77
$11.77
$40.78
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CPT 83037
5 of 25 sample ratesHigher to lower in this preview
Angila Jaeggli
$11.89Published rateBelinda Fu
$9.71Published rateJennifer Richards
$9.71Published rateMegan Guffey
$5.82Published rateChristina Poon
$4.63Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83037 vs. Other Chemistry Procedures Codes
The CPT 83037 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 83037 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 |
|---|---|---|
| 83036-CPT | Low | Blood Sugar (Glucose) Test, This Test Measures Glucose Bound To Hemoglobin In Blood Samples. The Results Show An Average Of Blood Glucose (Sugar) Levels Over The Previous Three Months. |
| 83037-CPT | Low | Blood Sugar (Glucose) Test, This Test Measures Glucose Bound To Hemoglobin In Blood Samples. The Results Show An Average Of Blood Glucose (Sugar) Levels Over The Previous Three Months. |
| 83516-CPT | Low | Immunoassay For Analyte Other, Immunoassay For Analyte Other Than Infectious Agent Antibody Or Infectious Agent Antigen Qualitative Or Semiquantitative Multiple Step Method |
| 83518-CPT | Low | Immunoassay For Analyte Other, Immunoassay For Analyte Other Than Infectious Agent Antibody Or Infectious Agent Antigen Qualitative Or Semiquantitative Single Step Method (Eg Reagent Strip) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83037. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83037 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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