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See a sample rate comparisonCPT 84087 Fee Schedule
Medicare rates as of January 2026
CPT 84087 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Enzyme Activity Test, This Test Measures Phosphohexose Isomerase An Enzyme That Works On Digestion Of Fructose (A Sugar).
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 49 - Independent Clinic |
| Common Modifiers | 90 - Reference Laboratory 91 - Repeat Lab Test TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $10.73 national lab fee schedule rate (2026) · View Medicare rates for 84087 |
| Medicaid Fee Schedule | $10.595 median of the 8 states in the free preview · View Medicaid rates for 84087 |
National average reimbursement for CPT 84087 by major payers:
$9.46
BCBS / Anthem
$7.37
UnitedHealthcare
$13.19
Aetna
$16.10
Cigna
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CPT 84087
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$40.00Published rateKell West Regional Hospital LLC
Kell West Regional Hospital, LLC
$13.07Published rateColumbia Medical Center Of Arlington Subsidiary Lp, Medical City Arlington
Columbia Medical Center Of Arlington Subsidiary Lp
$10.72Published rateChristopher Raio
Mercy Medical Center
$6.44Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$6.05Published rate
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See a sample payer proposalCPT 84087 vs. Other Chemistry Procedures Codes
The table lists codes related to 84087. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84085-CPT | Low | Enzyme Blood Test, This Blood Test Measures The Amount Of The Enzyme 6-Phosphogluconate Dehydrogenase. It Is Present In Red Blood Cells And Helps To Metabolize Sugars. |
| 84087-CPT | Low | Enzyme Activity Test, This Test Measures Phosphohexose Isomerase An Enzyme That Works On Digestion Of Fructose (A Sugar). |
| 84105-CPT | Low | Phosphorus Trace Element Test, The Urine Phosphorus Test Checks For Calcium Absorption And Kidney Function. Phosphorus Is A Trace Element Required For Proper Digestion Bone Formation And Kidney Health. It Aids The Balance Of Calcium Potassium And Glucose. |
| 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 84087. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84087 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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