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See a sample rate comparisonCPT 84255 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
| 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 | $25.53 national lab fee schedule rate (2026) · View Medicare rates for 84255 |
| Medicaid Fee Schedule | $23.485 median of the 8 states in the free preview · View Medicaid rates for 84255 |
National average reimbursement for CPT 84255 by major payers:

$22.12
BCBS / Anthem

$17.83
UnitedHealthcare

$28.39
Aetna

$37.02
Cigna
Choose a payer to see a sample of rates for CPT 84255.
Brim Healthcare Of Texas LLC
Dallas Vamc, Bonham Vamc
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Specialists Hospital Shreveport, LLC
Specialists Hospital Shreveport, L.L.C.
Jps Health
Los Barrios Unidos Community Clinic Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 84255 vs. Other Chemistry Procedures Codes
The table lists codes related to 84255. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84210-CPT | Low | Blood Test Pyruvate, This Blood Test Measures Pyruvate Which Is Formed As Digestion Breaks Down Carbohydrates And Proteins. When There Is A Deficiency The Cells Do Not Get Enough Energy. |
| 84220-CPT | Low | Blood Test Pyruvate, This Blood Test Measures Pyruvate Which Is Formed As Digestion Breaks Down Carbohydrates And Proteins. When There Is A Deficiency The Cells Do Not Get Enough Energy. |
| 84255-CPT | Low | Selenium Trace Mineral Test, This Test Measures The Amount Of Selenium In The Body. Selenium Is A Trace Mineral Required To Make Antioxidants. It Is Also Good For Protecting The Body After Vaccination And Against Heavy Metals. |
| 84260-CPT | Low | Serotonin Test, This Test Evaluates Either A Blood Or Spinal Fluid Sample For Serotonin. The Test Is Used To Help In Diagnosis Of Severe Depression Or Intestinal Tumors That Affect Serotonin Levels. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84255. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84255 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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