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See a sample rate comparisonCPT 84150 Fee Schedule
Medicare rates as of January 2026
CPT 84150 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Prostaglandin Test, Prostaglandins Are Substances That Mimic Hormones In Their Actions. They Are Used In A Wide Variety Of Ways Ranging From Stimulating Uterine Contractions To Reducing Pressure In The Eye.
| 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 |
| Complexity Level | Low |
| Medicare Fee Schedule | $41.77 national lab fee schedule rate (2026) · View Medicare rates for 84150 |
| Medicaid Fee Schedule | $38.43 median of the 8 states in the free preview · View Medicaid rates for 84150 |
National average reimbursement for CPT 84150 by major payers:
$32.08
BCBS / Anthem
$23.16
UnitedHealthcare
$40.87
Aetna
$58.08
Cigna
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CPT 84150
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$91.89Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$49.62Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$33.42Published rateChristopher Raio
St Francis Hospital
$22.56Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$8.30Published rate
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See a sample payer proposalCPT 84150 vs. Other Chemistry Procedures Codes
The table lists codes related to 84150. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83970-CPT | Low | Parathyroid Hormone Test, Pth (Parathyroid Hormone) Helps The Body Absorb And Use Calcium And Phosphorus. Both Minerals Affect Bone Health. This Blood Test Identifies High Levels Of Pth Which Indicates The Body Is Losing Calcium And Phosphorus. |
| 84145-CPT | Low | Test For Bacteria Infection, The Procalcitonin (Pct) Test Is Used For Early Identification And Diagnosis Of Sepsis. Sepsis Is A Severe Bacterial Infection Of The Blood. |
| 84150-CPT | Low | Prostaglandin Test, Prostaglandins Are Substances That Mimic Hormones In Their Actions. They Are Used In A Wide Variety Of Ways Ranging From Stimulating Uterine Contractions To Reducing Pressure In The Eye. |
| 84160-CPT | Low | Total Body Protein Test, This Test Measures The Quantity Of Proteins Traveling Through Body Fluids Rather Than Moving Into Cells. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84150 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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