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See a sample rate comparisonCPT 83655 Fee Schedule
Medicare rates as of January 2026
CPT 83655 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test For Exposure To Lead, Test To Determine Possible Exposure To Lead Either Through Recent Contact Or Long-Term Exposure.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | QW - CLIA Waived Tests 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.11 national lab fee schedule rate (2026) · View Medicare rates for 83655 |
| Medicaid Fee Schedule | $11.755 median of the 8 states in the free preview · View Medicaid rates for 83655 |
National average reimbursement for CPT 83655 by major payers:
$10.71
BCBS / Anthem
$8.67
UnitedHealthcare
$15.10
Aetna
$17.85
Cigna
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CPT 83655
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital
Emerus Bhs Sa Thousand Oaks LLC
$37.50Published rateVhs Brownsville Hospital Company LLC, Valley Baptist Medical Center - Brownsville
$12.10Published rateColumbia Medical Center Of Denton Subsidiary Lp, Medical City Denton
Columbia Medical Center Of Denton Subsidiary Lp
$12.10Published rateBienville Medical Center, Inc.
$7.09Published rateBsa Hospital LLC
$5.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83655 vs. Other Chemistry Procedures Codes
The table lists codes related to 83655. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83655-CPT | Low | Test For Exposure To Lead, Test To Determine Possible Exposure To Lead Either Through Recent Contact Or Long-Term Exposure. |
| 83661-CPT | Low | Fetal Lung Assessment, The Test Analyzes Amniotic Fluid To Predict Fetal Lung Development. This Can Help To Predict The Likelihood Of Breathing Distress In A Newborn During Or Immediately After Birth. |
| 83662-CPT | Low | Fetal Lung Assessment, The Test Analyzes Amniotic Fluid To Predict Fetal Lung Development. This Can Help To Predict The Likelihood Of Breathing Distress In A Newborn During Or Immediately After Birth. |
| 83663-CPT | Low | Fetal Lung Assessment, The Test Analyzes Amniotic Fluid To Predict Fetal Lung Development. This Can Help To Predict The Likelihood Of Breathing Distress In A Newborn During Or Immediately After Birth. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83655. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83655 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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Frequently Asked Questions
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by medical professionals to report medical, surgical, and diagnostic services and procedures to entities such as physicians, health insurance companies, and accreditation organizations. These codes are essential for billing and for tracking healthcare services.
A fee schedule is a comprehensive listing of fees used by health insurers or government programs to pay providers. It specifies the maximum amount that will be paid for each service or procedure, often determined by CPT codes and modifiers. It helps standardize pricing for healthcare services.
To find out the cost of a specific medical procedure or service, you can use specialized tools that provide fee schedule lookups based on CPT codes and your specific location. For accurate and up-to-date pricing information relevant to your specific situation, it is recommended to use Payerprice's fee schedule lookup tool. You can search there with the CPT code and your location to get specific pricing details.
CMS (Centers for Medicare & Medicaid Services) primarily provides fee schedules for Medicare and Medicaid programs, which are government-funded. While CMS data can offer a general baseline, it may not reflect commercial insurance rates or specific negotiated prices for all providers or regions. Payerprice, on the other hand, offers a fee schedule lookup tool designed to provide more comprehensive pricing information across various payers, allowing users to search with CPT codes and specific locations to get a broader view of market rates beyond just government programs.
Payerprice offers a dedicated fee schedule lookup tool. By inputting the CPT code for a medical service or procedure along with your specific location, the tool can provide you with relevant pricing information and fee schedules. This allows you to understand potential costs and compare prices for different services or providers based on your individual needs and location.
Payerprice's fee schedule lookup tool is designed to provide pricing information based on CPT codes and specific locations. While it aims to offer comprehensive data, the availability and detail of information can vary depending on the service, payer, and exact geographic area. It is recommended to use the tool directly with your specific CPT code and location to determine the availability of relevant pricing data for your particular situation.