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CPT 83721 Fee Schedule

Last Verified: January 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.

Lipoprotein Direct Meas Ldl Choles
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Chemistry Procedures

Common Place of Service

81 - Independent Laboratory

11 - Office

Common Modifiers

None

59 - Distinct Procedural Service

XU - Unusual Non-Overlapping Service

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 83721

National average reimbursement for CPT 83721 by major payers:

bcbs

$10.09

uhc

$8.46

aetna

$12.04

cigna

$15.17

Preview provider-level rates for...
For billing codeCPT 83721
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 83721

United
83721$10.501932204427 - NMC OPERATING COMPANY LLC, THE SPINE HOSPITAL OF LOUISIANA270059959 - (LA) NMC OPERATING COMPANY, LLCLAGeneral Acute Care Hospital (282N00000X)
United
83721$12.071669480323 - KELL WEST REGIONAL HOSPITAL LLC752756307 - KELL WEST REGIONAL HOSPITAL, LLCTXGeneral Acute Care Hospital (282N00000X)
United
83721$4.401689650921 - EASTLAND MEMORIAL HOSPITAL DISTRICT, EASTLAND MEMORIAL HOSPITAL752313255TXGeneral Acute Care Hospital (282N00000X)
United
83721$10.501134166192 - ORTHOPEDIC HOSPITAL LTD, TEXAS ORTHOPEDIC HOSPITAL760418502 - (TX) ORTHOPEDIC HOSPITAL LTDTXGeneral Acute Care Hospital (282N00000X)
United
83721$8.001972590602 - PALO PINTO COUNTY HOSPITAL DISTRICT, PALO PINTO GENERAL HOSPITAL751256948TXGeneral Acute Care Hospital (282N00000X)
United
83721$12.601689650921 - EASTLAND MEMORIAL HOSPITAL DISTRICT, EASTLAND MEMORIAL HOSPITAL752313255TXGeneral Acute Care Hospital (282N00000X)
United
83721$5.461508199621 - SERGE LARTCHENKO M.D., PLLC270839735 - (TX) SERGE LARTCHENKO MD PLLCTXGeneral Acute Care Hospital (282N00000X)
United
83721$5.461174526529 - TITUS COUNTY HOSPITAL DISTRICT, TITUS REGIONAL MEDICAL CENTER756003935TXGeneral Acute Care Hospital (282N00000X)
United
83721$10.501801817135 - BRAZOS VALLEY PHYSICIANS ORGANIZATION,MSO-LLC, THE PHYSICIANS CENTRE742862145 - BRAZOS VALLEY PHYSICIANS ORGANIZATIONMSOLLCTXGeneral Acute Care Hospital (282N00000X)
United
83721$4.941255728119 - CHANA VAN HOUTEN464454536 - (TX) NADIR MIR ALI MD PLLCTXGeneral Acute Care Hospital (282N00000X)
United
83721$10.501770573586 - MCALLEN HOSPITALS L P, SOUTH TEXAS HEALTH SYSTEM233069260TXGeneral Acute Care Hospital (282N00000X)
United
83721$10.501306897277 - COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP, MEDICAL CITY DENTON621682213 - (TX) COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LPTXGeneral Acute Care Hospital (282N00000X)
United
83721$13.321275633604 - EL PASO VAMC742934770TXGeneral Acute Care Hospital (282N00000X)
United
83721$9.441134222565 - LAFAYETTE SURGICAL HOSPITAL LLC, LAFAYETTE SURGICAL SPECIALTY HOSPITAL900021727 - (LA) LAFAYETTE SURGICAL SPECIALTY HOSPITALLAGeneral Acute Care Hospital (282N00000X)
United
83721$3.771568848059 - CUMBERLAND SURGICAL HOSPITAL OF SAN ANTONIO LLC, LEGENT ORTHOPEDIC & SPINE474612520TXGeneral Acute Care Hospital (282N00000X)
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 83721 vs. Other Chemistry Procedures Codes

The CPT 83721 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 83721 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
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
83721-CPTLowLipoprotein Direct Meas Ldl Choles

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83721. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 83721 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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