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See a sample rate comparisonCPT 84143 Fee Schedule
Medicare rates as of January 2026
CPT 84143 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test For Hormone Problem, 17-Oh-Pregnenolone Is Related To Hormone Secretion And Normal Metabolic Wastes From The Adrenal Gland. This Hormone Is Tested For When A Condition Affecting Sexual Characteristics Is Suspected.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $22.81 national lab fee schedule rate (2026) · View Medicare rates for 84143 |
| Medicaid Fee Schedule | $22.525 median of the 8 states in the free preview · View Medicaid rates for 84143 |
National average reimbursement for CPT 84143 by major payers:
$19.83
BCBS / Anthem
$16.28
UnitedHealthcare
$25.67
Aetna
$34.21
Cigna
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CPT 84143
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$55.00Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$23.06Published rateChca Conroe Lp, Conroe Regional Medical Center
Chca Conroe Lp
$22.80Published rateBruce Madsen
Bridgeport Eye Physicians LLC
$13.72Published 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
$7.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84143 vs. Other Chemistry Procedures Codes
The table lists codes related to 84143. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84140-CPT | Low | Pregnenolone Hormone Test, Pregnenolone Is A Steroid Needed By Other Hormones For Transformation. It Also Plays A Role In Healthy Nerve Structure. Pregnenolone Is Produced In The Adrenal Glands Where It Interacts With Reproductive Hormones. |
| 84143-CPT | Low | Test For Hormone Problem, 17-Oh-Pregnenolone Is Related To Hormone Secretion And Normal Metabolic Wastes From The Adrenal Gland. This Hormone Is Tested For When A Condition Affecting Sexual Characteristics Is Suspected. |
| 84144-CPT | Low | Progesterone Hormone Test, Progesterone Levels Relate To The Ovulation Cycle And Pregnancy Development. The Test Helps Understand Fertility Problems And Assess Risk Such As Threatened Miscarriage Or Ectopic Pregnancy. |
| 84146-CPT | Low | Prolactin Hormone Test, Prolactin Is A Hormone Made By The Pituitary Gland. It Affects Fertility And Production And Release Of Other Hormones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84143. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84143 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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