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CPT 84146 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.

Prolactin (Mammotropin), Ria
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Chemistry Procedures

Common Place of Service

81 - Independent Laboratory

11 - Office

Common Modifiers

None

90 - Reference Laboratory

26 - Professional component

Complexity LevelLow

National average reimbursement for CPT 84146 by major payers:

bcbs

$16.37

uhc

$13.81

aetna

$24.00

cigna

$29.12

Preview provider-level rates for...
For billing codeCPT 84146
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 84146

United
84146$33.611023102498 - STEFAN CHIMOSKEY846002707 - (CO) MONTROSE MEMORIAL HOSPITALCOSleep Medicine (Family Medicine) Physician (207QS1201X)
United
84146$35.501316119076 - BAIJU ABDULLA202029931 - (CO) CENTER POINTE FAMILY MEDICINE LLCCOFamily Medicine Physician (207Q00000X)
United
84146$11.071043278245 - LAURETTA GARREN846008116 - GUNNISON VALLEY HOSPITALCOFamily Medicine Physician (207Q00000X)
United
84146$8.141255477790 - JOHN ABBOTT883165684 - (CO) WAYNE HUDSON DO INTEGRATED MEDICAL PRACTICE PLLCCOFamily Medicine Physician (207Q00000X)
United
84146$14.341457337040 - ELIAS HERNANDEZ900733283COFamily Medicine Physician (207Q00000X)
United
84146$8.141326253436 - ALLIANCE FAMILY PRACTICE205928039COFamily Medicine Physician (207Q00000X)
United
84146$19.371295264158 - MATTHEW OROBONA471007692 - PRO HEALTH ONECOFamily Medicine Physician (207Q00000X)
United
84146$11.181548649445 - JULIANA OLIVEIRA208488778 - UNM MEDICAL GROUP INCCOFamily Medicine Physician (207Q00000X)
United
84146$21.311295897528 - JOYCE MOBLEY271882094 - (TN) LIFE CARE PHYSICIAN SERVICES LLCCOFamily Medicine Physician (207Q00000X)
United
84146$8.141245256320 - NOLA MACDONALD721564343 - (CO) INTEGRATIVE CENTER FOR HEALTHCOFamily Medicine Physician (207Q00000X)
United
84146$11.441013914928 - JAMES YEASH472218380 - (CO) OPTUMCARE COLORADO SPRINGS, LLCCOFamily Medicine Physician (207Q00000X)
United
84146$8.141962283184 - ROCKY MOUNTAIN CLINICS, LLC920402799 - ROCKY MOUNTAIN CLINICS LLCCOAddiction Medicine (Family Medicine) Physician (207QA0401X)
United
84146$8.141396777223 - JASON SIMS841100961 - (CO) CONIFER MEDICAL CENTER, P.C.COFamily Medicine Physician (207Q00000X)
United
84146$8.141275263030 - PLUME HEALTH, PC851280642 - PLUME HEALTH PCCOFamily Medicine Physician (207Q00000X)
United
84146$21.311285165118 - JULIAN CAMMARANO840405257 - CATHOLIC HEALTH INITIATIVES COLORADOCOFamily Medicine Physician (207Q00000X)
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 84146 vs. Other Chemistry Procedures Codes

The CPT 84146 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 84146 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
84140-CPTLowPregnenolone
84143-CPTLow17-Hydroxygregnenolone
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 84146. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 84146 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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