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See a sample rate comparisonCPT 85244 Fee Schedule
Medicare rates as of January 2026
CPT 85244 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Blood Clotting Test, The Test Measures The Quantity Of Blood Clotting Protein Factor Viii One Of 13 Proteins Required For Normal Blood Clotting.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 81 - Independent Laboratory 49 - Independent Clinic |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $20.42 national lab fee schedule rate (2026) · View Medicare rates for 85244 |
| Medicaid Fee Schedule | $19.405 median of the 8 states in the free preview · View Medicaid rates for 85244 |
National average reimbursement for CPT 85244 by major payers:
$18.54
BCBS / Anthem
$14.54
UnitedHealthcare
$23.95
Aetna
$31.05
Cigna
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CPT 85244
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
Samaritan Emergency Medical Services PC
$26.95Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$20.42Published rateChristopher Raio
St Joseph Hospital
$12.25Published rateChristopher Raio
St Joseph Hospital
$11.03Published rateEastland Memorial Hospital District, Eastland Memorial Hospital
$8.57Published rate
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See a sample payer proposalCPT 85244 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85244. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85240-CPT | Low | Clotting; Factor Viii (Ahg), One Stage |
| 85244-CPT | Low | Blood Clotting Test, The Test Measures The Quantity Of Blood Clotting Protein Factor Viii One Of 13 Proteins Required For Normal Blood Clotting. |
| 85245-CPT | Low | Blood Protein Binding Test, In This Test An Antibiotic Is Added To A Sample Of Blood Plasma To See If A Clot Begins To Form. The Test Can Identify Problems With Blood Clotting. |
| 85246-CPT | Low | Blood Clotting Protein Test, In This Test A Sample Of Blood Plasma Is Examined For The Presence And Amount Of Von Willebrand Factor (Vwf) A Protein Essential For Delivering Protein Factor Viii To Wound Sites. Low Levels Of Vwf Weaken Blood Clotting Ability. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85244. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85244 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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