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See a sample rate comparisonCPT 85044 Fee Schedule
Medicare rates as of January 2026
CPT 85044 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Red Blood Cell Count, Reticulocytes Are Young Red Blood Cells (Rbcs). The Count Can Be Automated Or Manual Using A Microscope. It Is Used To Evaluate Both Anemia And How Well Bone Marrow Is Creating Rbcs.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.31 national lab fee schedule rate (2026) · View Medicare rates for 85044 |
| Medicaid Fee Schedule | $4.255 median of the 8 states in the free preview · View Medicaid rates for 85044 |
National average reimbursement for CPT 85044 by major payers:
$3.92
BCBS / Anthem
$3.10
UnitedHealthcare
$5.01
Aetna
$6.38
Cigna
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CPT 85044
5 of 25 sample ratesHigher to lower in this preview
Huntsville Community Hospital, Inc.
Huntsville Community Hospital Inc
$5.40Published rateCarthage Hospital, LLC
$4.30Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
$4.30Published rateProgressive Acute Care Avoyelles, LLC, Avoyelles Hospital
$3.88Published rateEl Campo Memorial Hospital
$1.80Published rate
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See a sample payer proposalCPT 85044 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85044. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85009-CPT | Low | Manual Blood Count, Routine Blood Test Where A Sample Is Examined Under A Microscope. The Basic Components Are Counted: White Blood Cells (Wbcs) Red Blood Cells And Platelets. The Five Wbc Types Also May Be Counted: Neutrophils Lymphocytes Monocytes Eosinophils Basophils. |
| 85013-CPT | Low | Red Cell Volume (Hematocrit), The Hematocrit Test Looks At The Proportion Of Red Blood Cells As Part Of The Total Blood Volume. It Is Often Used To Detect Blood Loss Or Test For Iron Deficiency As Well As Other Conditions. |
| 85014-CPT | Low | Red Cell Volume (Hematocrit), The Hematocrit Test Looks At The Proportion Of Red Blood Cells As Part Of The Total Blood Volume. It Is Often Used To Detect Blood Loss Or Test For Iron Deficiency As Well As Other Conditions. |
| 85044-CPT | Low | Red Blood Cell Count, Reticulocytes Are Young Red Blood Cells (Rbcs). The Count Can Be Automated Or Manual Using A Microscope. It Is Used To Evaluate Both Anemia And How Well Bone Marrow Is Creating Rbcs. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85044. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85044 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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