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See a sample rate comparisonCPT 84119 Fee Schedule
Medicare rates as of January 2026
CPT 84119 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $13.36 national lab fee schedule rate (2026) · View Medicare rates for 84119 |
| Medicaid Fee Schedule | $12.295 median of the 8 states in the free preview · View Medicaid rates for 84119 |
National average reimbursement for CPT 84119 by major payers:
$10.68
BCBS / Anthem
$7.93
UnitedHealthcare
$12.85
Aetna
$18.72
Cigna
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CPT 84119
5 of 25 sample ratesHigher to lower in this preview
El Paso County Hospital District, University Medical Center Of El Paso
El Paso County Hospital District
$27.00Published rateChristopher Raio
Mercy Medical Center
$15.87Published rateCoastal Carolina Medical Center, Inc., Coastal Carolina Hospital
$13.35Published rateChristopher Raio
St Joseph Hospital
$7.21Published rateBsa Hospital LLC
$4.92Published rate
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See a sample payer proposalCPT 84119 vs. Other Chemistry Procedures Codes
The table lists codes related to 84119. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84119-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. |
| 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. |
| 84126-CPT | Low | Fecal Test For Porphyrins, Porphyrin Tests Are Useful For Evaluating Enzyme Deficiencies Related To Protein Metabolism Need 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 84119. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84119 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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