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See a sample rate comparisonCPT 84207 Fee Schedule
Last Verified: September 2026
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.
Pyridoxine (Vitamin B 6)
| Key Fact | Detail |
|---|---|
| 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 Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84207 |
| Medicaid Fee Schedule | View Medicaid rates for 84207 |
National average reimbursement for CPT 84207 by major payers:
$23.78
$19.55
$31.67
$40.95
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CPT 84207
5 of 25 sample ratesHigher to lower in this preview
Lasalle Parish Hospital Service Dist No1, Hardtner Medical Center
Hardtner Medical Center
$52.04Published rateOur Lady Of The Lake Assumption Community Hospital, Assumption Community Hospital
Our Lady Of The Lake Assumption Community Hospital Inc
$28.10Published rateMethodist Hospitals Of Dallas, Methodist Charlton Medical Center
Methodist Hospitals Of Dallas
$28.10Published rateNocona Hospital District, Nocona General Hospital
$17.22Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$11.80Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84207 vs. Other Chemistry Procedures Codes
The CPT 84207 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 84207 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.
| Code | Complexity | Description |
|---|---|---|
| 84207-CPT | Low | Pyridoxine (Vitamin B 6) |
| 84252-CPT | Low | Test Vitamin B2 Deficiency, This Test Can Measure A Deficiency Of Vitamin B2 (Riboflavin). Riboflavin Is Used To Process Carbohydrates And Helps With Blood Cell And Overall Body Development. |
| 84425-CPT | Low | Vitamin B1 Deficiency Test, This Test Can Measure A Deficiency Of Vitamin B1 (Thiamine). Thiamine Helps Convert Carbohydrates To Energy And Is Good For The Heart Muscles And Nerves. |
| 84460-CPT | Low | Liver Enzyme (Alt) Test, This Test Measures Alanine Aminotransferase (Alt) An Enzyme Made In The Liver That Transforms Amino Acids To Energy For Cells. The Test Helps To Evaluate Liver Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84207. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84207 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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