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See a sample rate comparisonCPT 85247 Fee Schedule
Medicare rates as of January 2026
CPT 85247 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $22.94 national lab fee schedule rate (2026) · View Medicare rates for 85247 |
| Medicaid Fee Schedule | $21.105 median of the 8 states in the free preview · View Medicaid rates for 85247 |
National average reimbursement for CPT 85247 by major payers:
$20.39
BCBS / Anthem
$15.80
UnitedHealthcare
$27.22
Aetna
$34.93
Cigna
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CPT 85247
5 of 25 sample ratesHigher to lower in this preview
Pmc Hospital, LLC, St. Luke'S Patients Medical Center
Pmc Hospital, LLC
$42.47Published rateChristopher Raio
Mercy Medical Center
$27.25Published ratePrisma Health-Upstate, Prisma Health Ob/Gyn Clinic
Prisma Health - Upstate
$20.64Published rateCaldwell Memorial Hospital Inc
Caldwell Memorial Hospital, Inc.
$13.47Published rateChristopher Raio
St Joseph Hospital
$11.98Published rate
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See a sample payer proposalCPT 85247 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85247. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 85247-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. |
| 85250-CPT | Low | Blood Clotting Test, The Blood Clotting Factor Ix Test Is Part Of The Testing For Hemophilia B. When There Is A Deficiency Of Factor Ix Protein A Clot Takes Much Longer To Form. |
| 85260-CPT | Low | Clotting; Factor X (Stuart-Prower) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85247. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85247 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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