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See a sample rate comparisonCPT 84377 Fee Schedule
Medicare rates as of January 2026
CPT 84377 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test Sugar Level In Specimen, The Test Is Used To Evaluate If An Infant Is Not Meeting Growth Benchmarks (Failure To Thrive) As A Result Of Inherited Imbalances In Fructose Sucrose Or Lactose.
| 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 TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.50 national lab fee schedule rate (2026) · View Medicare rates for 84377 |
| Medicaid Fee Schedule | $5.43 median of the 8 states in the free preview · View Medicaid rates for 84377 |
National average reimbursement for CPT 84377 by major payers:
$4.98
BCBS / Anthem
$3.91
UnitedHealthcare
$6.85
Aetna
$8.19
Cigna
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CPT 84377
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$35.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$5.50Published ratePrisma Health-Upstate, Prisma Health Center For Pediatric Med
Prisma Health - Upstate
$4.94Published rateMolly Mcintosh
Baycare Medical Group Inc
$3.17Published rateAaron Askew
The Orthopedic And Neurosurgical Center Of The Cascades
$2.31Published rate
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See a sample payer proposalCPT 84377 vs. Other Chemistry Procedures Codes
The table lists codes related to 84377. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84375-CPT | Low | Test For Metabolic Condition, This Test Is Used To Identify Inherited Metabolic Conditions Involving The Production Or Processing Of Sugars Such As Fructose Galactose And Lactose. |
| 84376-CPT | Low | Test Sugar Level In Specimen, The Test Is Used To Evaluate If An Infant Is Not Meeting Growth Benchmarks (Failure To Thrive) As A Result Of Inherited Imbalances In Fructose Sucrose Or Lactose. |
| 84377-CPT | Low | Test Sugar Level In Specimen, The Test Is Used To Evaluate If An Infant Is Not Meeting Growth Benchmarks (Failure To Thrive) As A Result Of Inherited Imbalances In Fructose Sucrose Or Lactose. |
| 84379-CPT | Low | Test Sugar Level In Specimen, The Test Is Used To Evaluate If An Infant Is Not Meeting Growth Benchmarks (Failure To Thrive) As A Result Of Inherited Imbalances In Fructose Sucrose Or Lactose. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84377. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84377 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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