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CPT 83718 Fee Schedule

Last Verified: December 2025

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.

Lipoprotein Direct Meas Hdl Cholest
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Chemistry Procedures

Common Place of Service

81 - Independent Laboratory

11 - Office

Common Modifiers

None

QW - CLIA Waived Tests

26 - Professional component

Complexity LevelLow

National average reimbursement for CPT 83718 by major payers:

bcbs

$7.35

uhc

$5.85

aetna

$9.86

cigna

$12.18

Preview provider-level rates for...
For billing codeCPT 83718
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 83718

United
83718$5.011912987587 - PRAMEELA PALLI232359401 - MAIN LINE HEALTHCARENJInternal Medicine Physician (207R00000X)
United
83718$4.901043344716 - JOHN STABILE810889110NJInternal Medicine Physician (207R00000X)
United
83718$3.591255336004 - DEBORAH CHEUNG134106083NJInternal Medicine Physician (207R00000X)
United
83718$4.091174524045 - EMMANUEL AYDIN465285330 - VALLEY PHYSICIAN SERVICES PCNJInternal Medicine Physician (207R00000X)
United
83718$4.901902396237 - KHUSHBOO AGARWAL208310678 - (NJ) HEART & VASCULAR CENTER OF NEW BRUNSWICK, LLCNJInternal Medicine Physician (207R00000X)
United
83718$4.901881675098 - LAWRENCE DAVIS452548322 - MEDICAL ASSOCIATES OF ENGLEWOOD PCNJInternal Medicine Physician (207R00000X)
United
83718$5.501366049330 - SHAFAQ TARAR205866087 - (NY) MEDICAL OFFICES OF MANHATTANNJInternal Medicine Physician (207R00000X)
United
83718$3.731285694794 - KUMARASWAMY RAMASWAMY263021731 - (NJ) SOMERSET HEALTH CENTER PCNJInternal Medicine Physician (207R00000X)
United
83718$3.461427314996 - TANJIM SULTANA223376459 - HACKENSACK MERIDIAN HEALTH MEDICAL GROUP-SPECIALTY CARE PCNJInternal Medicine Physician (207R00000X)
United
83718$3.731518151463 - REKHA MANDEL364920478 - (NJ) PALM INTEGRATIVE MEDICINE NJ LLCNJInternal Medicine Physician (207R00000X)
United
83718$8.641275037301 - FRANCISCO GALLEGO VALDERRAMA453023019 - (NY) NORTH SHORE-LIJ MEDICAL PCNJInternal Medicine Physician (207R00000X)
United
83718$3.731407869985 - NERMI ONAT10559120NJInternal Medicine Physician (207R00000X)
United
83718$12.431194144840 - FAHAD BIN ZULFIQAR204881619 - UNIVERSITY HOSPITALS HEALTH SYSTEM INCNJInternal Medicine Physician (207R00000X)
United
83718$4.001912938747 - RANA JAFRI522323973 - (NJ) MEDICAL ASSOCIATES OF MARLBORO PCNJInternal Medicine Physician (207R00000X)
United
83718$4.901407053291 - KALANIE MENDIS463935657 - (NJ) PRINCETON KIDNEY CARE LLCNJInternal Medicine Physician (207R00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 83718 vs. Other Chemistry Procedures Codes

The CPT 83718 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 83718 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.

CodeComplexityDescription
83698-CPTLowLipoprotein Associated Phospolipase A2 Lp Pla2
83704-CPTLowLipoprotein Blood; Quantitation Of Lipoprotein Particle Number(S) (Eg By Nuclear Magnetic Resonance Spectroscopy) Includes Lipoprotein Particle Subclass(Es) When Performed. (Desc Revised 1/1/2017)
83718-CPTLowLipoprotein Direct Meas Hdl Cholest
83719-CPTLowLipoprotein Very Low Dens.Cholesterol-Ul

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83718. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 83718 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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