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See a sample rate comparisonCPT 84430 Fee Schedule
Last Verified: October 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.
Thiocyanate, Blood
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 90 - Reference Laboratory 59 - Distinct Procedural Service QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.63 national lab fee schedule rate (2026) · View Medicare rates for 84430 |
| Medicaid Fee Schedule | $10.71 median of the 8 states in the free preview · View Medicaid rates for 84430 |
National average reimbursement for CPT 84430 by major payers:
$9.88
$7.93
$12.45
$16.85
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CPT 84430
5 of 25 sample ratesHigher to lower in this preview
Foundation Bariatric Hospital Of San Antonio, LLC, Foundation Surgical Hospital Of San Antonio
Foundation Bariatric Hospital Of San Antonio, LLC
$45.00Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$11.77Published rateHilton Head Health System, L.P., Hilton Head Hospital
$11.63Published rateCaldwell Memorial Hospital Inc
Caldwell Memorial Hospital, Inc.
$6.82Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$4.03Published rate
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See a sample payer proposalCPT 84430 vs. Other Chemistry Procedures Codes
The CPT 84430 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 84430 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 |
|---|---|---|
| 84305-CPT | Low | Liver Protein Test, This Liver Protein Test Measures Somatomedin Which Has An Important Relationship With Growth Hormone. |
| 84402-CPT | Low | Testosterone Hormone Test, Testosterone Helps Balance Male-Female Secondary Sex Characteristics Like Body Hair. Results Help Evaluate Pituitary Gland And Sex Gland Conditions. |
| 84403-CPT | Low | Testosterone Hormone Test, Testosterone Helps Balance Male-Female Secondary Sex Characteristics Like Body Hair. Results Help Evaluate Pituitary Gland And Sex Gland Conditions. |
| 84430-CPT | Low | Thiocyanate, Blood |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84430. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84430 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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