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See a sample rate comparisonCPT 84106 Fee Schedule
Medicare rates as of January 2026
CPT 84106 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory 59 - Distinct Procedural Service 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.82 national lab fee schedule rate (2026) · View Medicare rates for 84106 |
| Medicaid Fee Schedule | $5.745 median of the 8 states in the free preview · View Medicaid rates for 84106 |
National average reimbursement for CPT 84106 by major payers:
$4.80
BCBS / Anthem
$3.69
UnitedHealthcare
$5.78
Aetna
$8.40
Cigna
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CPT 84106
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$40.00Published rateChristopher Raio
St Francis Hospital
$5.87Published rateVhs San Antonio Partners, LLC
$5.82Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$4.34Published rateMatthew Knecht
$2.44Published rate
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See a sample payer proposalCPT 84106 vs. Other Chemistry Procedures Codes
The table lists codes related to 84106. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84106-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. |
| 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 84106. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84106 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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