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See a sample rate comparisonCPT 84126 Fee Schedule
Medicare rates as of January 2026
CPT 84126 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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.
| 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 PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $39.11 national lab fee schedule rate (2026) · View Medicare rates for 84126 |
| Medicaid Fee Schedule | $35.98 median of the 8 states in the free preview · View Medicaid rates for 84126 |
National average reimbursement for CPT 84126 by major payers:
$30.17
BCBS / Anthem
$22.28
UnitedHealthcare
$37.17
Aetna
$54.48
Cigna
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CPT 84126
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$86.04Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$35.59Published rateChristopher Raio
St Francis Hospital
$34.91Published rateChristopher Raio
St Francis Hospital
$21.12Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$13.68Published rate
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See a sample payer proposalCPT 84126 vs. Other Chemistry Procedures Codes
The table lists codes related to 84126. 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 84126. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84126 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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