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See a sample rate comparisonCPT 84702 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.
Test To Measure Hcg, This Test Measures Hcg (Human Chorionic Gonadotropin) In Blood Or Urine A Protein That Is Elevated In Conditions Related To Conception Pregnancy And Some Cancers In Both Women And Men.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $15.05 national lab fee schedule rate (2026) · View Medicare rates for 84702 |
| Medicaid Fee Schedule | $13.845 median of the 8 states in the free preview · View Medicaid rates for 84702 |
National average reimbursement for CPT 84702 by major payers:
$12.68
$13.29
$18.45
$21.93
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CPT 84702
5 of 25 sample ratesHigher to lower in this preview
Kalinda Woods
Emory University
$73.45Published rateCharlotte Gamble
$17.55Published rateMichael Shuler
Athens Orthopedic Clinic, PA
$15.05Published rateBrittany Ptachick
Hroa 401k Plan
$9.03Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$6.76Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84702 vs. Other Chemistry Procedures Codes
The CPT 84702 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 84702 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 |
|---|---|---|
| 84510-CPT | Low | Tyrosine Testing, Tyrosine Testing Helps To Identify A Number Of Conditions Associated With Hormones And The Glands That Use Them. Tyrosine Is Involved With The Stress Response As Well As Regulation Of Blood Pressure And Body Temperature. |
| 84512-CPT | Low | Test For Heart Muscle Injury, This Test Of Troponin (Proteins Key To Muscle Contractions) Is Done At Intervals During An Emergency Visit To Help Identify Whether The Heart Muscle Has Been Injured. |
| 84702-CPT | Low | Test To Measure Hcg, This Test Measures Hcg (Human Chorionic Gonadotropin) In Blood Or Urine A Protein That Is Elevated In Conditions Related To Conception Pregnancy And Some Cancers In Both Women And Men. |
| 85018-CPT | Low | Hemoglobin Count, The Hemoglobin Count Helps To Evaluate The Amount Of Iron In The Blood. It Can Be Done As Part Of A Complete Blood Count (Cbc). A Low Count Can Be An Indicator Of Anemia. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84702. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84702 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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