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See a sample rate comparisonCPT 84080 Fee Schedule
Medicare rates as of January 2026
CPT 84080 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Enzyme (Alk Phos) Blood Test, Alkaline Phosphatase (Alk Phos Or Alp) Testing Checks For High Levels Of The Enzyme In A Blood Sample. Testing For Specific Enzymes Gives Clues About The Precise Nature Of A Problem. Alp Enzymes Affect Bones The Liver And Nutrient Absorption.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.78 national lab fee schedule rate (2026) · View Medicare rates for 84080 |
| Medicaid Fee Schedule | $14.595 median of the 8 states in the free preview · View Medicaid rates for 84080 |
National average reimbursement for CPT 84080 by major payers:
$12.96
BCBS / Anthem
$10.56
UnitedHealthcare
$16.71
Aetna
$21.61
Cigna
Compare published rates across providers.
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CPT 84080
5 of 25 sample ratesHigher to lower in this preview
Hcn Ep Horizon City, LLC, The Hospitals Of Providence Northeast Campus
Hcn Ep Horizon City LLC
$52.50Published rateSan Antonio Vamc, Kerrville Vamc
$20.65Published rateVhs San Antonio Partners, LLC
$14.77Published rateNocona Hospital District, Nocona General Hospital
$9.06Published rateTexas Health Harris Methodist Hospital Fort Worth
$7.38Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84080 vs. Other Chemistry Procedures Codes
The table lists codes related to 84080. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84075-CPT | Low | Enzyme (Alk Phos) Blood Test, Alkaline Phosphatase (Alk Phos Or Alp) Testing Checks For High Levels Of The Enzyme In A Blood Sample. Testing For Specific Enzymes Gives Clues About The Precise Nature Of A Problem. Alp Enzymes Affect Bones The Liver And Nutrient Absorption. |
| 84078-CPT | Low | Enzyme (Alk Phos) Blood Test, Alkaline Phosphatase (Alk Phos Or Alp) Testing Checks For High Levels Of The Enzyme In A Blood Sample. Testing For Specific Enzymes Gives Clues About The Precise Nature Of A Problem. Alp Enzymes Affect Bones The Liver And Nutrient Absorption. |
| 84080-CPT | Low | Enzyme (Alk Phos) Blood Test, Alkaline Phosphatase (Alk Phos Or Alp) Testing Checks For High Levels Of The Enzyme In A Blood Sample. Testing For Specific Enzymes Gives Clues About The Precise Nature Of A Problem. Alp Enzymes Affect Bones The Liver And Nutrient Absorption. |
| 84132-CPT | Low | Potassium Electrolyte Test, Potassium Is An Electrolyte Critical For Heart And Skeletal Muscles. The Blood Test Measures Overall Potassium. The Urine Test Verifies High Levels Related To Kidney Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84080. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84080 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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