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CPT 84145 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Procalcitonin (Pct)
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Chemistry Procedures

Common Place of Service

21 - Inpatient Hospital

23 - Emergency Room

Common Modifiers

None

26 - Professional component

TC - Technical component

Complexity LevelLow

National average reimbursement for CPT 84145 by major payers:

bcbs

$25.36

uhc

$17.50

aetna

$29.94

cigna

$70.94

Preview provider-level rates for...
For billing codeCPT 84145
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 84145

United
84145$13.881235408337 - STEPHANIE LANG593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLPhysician Assistant (363A00000X)
United
84145$13.881154062834 - ABIGAIL HAZLETT593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLPhysician Assistant (363A00000X)
United
84145$13.881497796965 - JOANNA GONZALEZ593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLPhysician Assistant (363A00000X)
United
84145$13.881902163769 - RICHARD GAMMON593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLBlood Banking & Transfusion Medicine Physician (207ZB0001X)
United
84145$16.321588157499 - AAKASH PATEL593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCNJStudent in an Organized Health Care Education/Training Program (390200000X)
United
84145$13.881124668967 - MELISSA AGUILERA593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLPhysician Assistant (363A00000X)
United
84145$13.881376046896 - AMANDA WINSLOW593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLCertified Registered Nurse Anesthetist (367500000X)
United
84145$16.321326257262 - BENJAMIN CREELAN593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLInternal Medicine Physician (207R00000X)
United
84145$13.881891840609 - CARLA MOODIE593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCNJPhysician Assistant (363A00000X)
United
84145$16.321417441163 - KATHRIN DVIR593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLHematology & Oncology Physician (207RH0003X)
United
84145$16.321063670487 - JOSE PIMIENTO593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLSurgery Physician (208600000X)
United
84145$16.321750812020 - ALEJANDRA RIVERON593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLInternal Medicine Physician (207R00000X)
United
84145$27.211770573586 - MCALLEN HOSPITALS L P, SOUTH TEXAS HEALTH SYSTEM233069260TXGeneral Acute Care Hospital (282N00000X)
United
84145$16.321568856524 - JAIMIE WEBER593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLHospitalist Physician (208M00000X)
United
84145$16.321730178575 - ERIK NELSON593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INCFLAnesthesiology Physician (207L00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 84145 vs. Other Chemistry Procedures Codes

The CPT 84145 code is part of the Pathology and Laboratory Procedures services used for Chemistry Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 84145 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
83970-CPTLowParathormone (Parathyroid Hormone),Ria
83986-CPTLowPh, Body Fluid, Except Blood Not Otherwise Specified
84145-CPTLowProcalcitonin (Pct)
84146-CPTLowProlactin (Mammotropin), Ria

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 84145 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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