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See a sample rate comparisonCPT 84081 Fee Schedule
Medicare rates as of January 2026
CPT 84081 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Fetal Assessment, This Test Analyzes Amniotic Fluid For Phosphatidylglycerol Within The Last Two Months Of Pregnancy. It Usually Is Done At The Same Time As The Fetal Lung Assessment To Predict The Likelihood Of Breathing Distress In The Fetus.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component JA - Intravenous administration |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.52 national lab fee schedule rate (2026) · View Medicare rates for 84081 |
| Medicaid Fee Schedule | $15.20 median of the 8 states in the free preview · View Medicaid rates for 84081 |
National average reimbursement for CPT 84081 by major payers:
$14.88
BCBS / Anthem
$12.14
UnitedHealthcare
$17.49
Aetna
$24.28
Cigna
Compare published rates across providers.
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CPT 84081
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$60.00Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$19.63Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Greer
Prisma Health - Upstate
$14.86Published rateChildrens National Medical Center
Childrens Hospital
$9.91Published rateAscension Seton, Ascension Seton Medical Center Austin
Ascension Seton
$6.28Published rate
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See a sample payer proposalCPT 84081 vs. Other Chemistry Procedures Codes
The table lists codes related to 84081. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84081-CPT | Low | Fetal Assessment, This Test Analyzes Amniotic Fluid For Phosphatidylglycerol Within The Last Two Months Of Pregnancy. It Usually Is Done At The Same Time As The Fetal Lung Assessment To Predict The Likelihood Of Breathing Distress In The Fetus. |
| 84110-CPT | Low | Purple Urine Test, Porphobilinogen Is A Deep Purple-Red Pigment That Indicates Porphyria A Condition Affecting How Iron Binds To Hemoglobin. This Is An Initial Test. Results May Indicate Infection Hormone Imbalance Or Other Conditions. |
| 84120-CPT | Low | Urine Test For Porphyrins, This Urine Porphyrin Test Is Used To Evaluate Enzyme Deficiencies Related To Protein Metabolism Needed To Properly Work With Iron In The Blood. |
| 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 84081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84081 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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