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See a sample rate comparisonCPT 85335 Fee Schedule
Medicare rates as of January 2026
CPT 85335 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Anti-Clotting Factor Test, The Anti-Clotting Factor Test Checks For Any Protein In The Blood That Prevents Normal Clotting.
| 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 | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.87 national lab fee schedule rate (2026) · View Medicare rates for 85335 |
| Medicaid Fee Schedule | $11.84 median of the 8 states in the free preview · View Medicaid rates for 85335 |
National average reimbursement for CPT 85335 by major payers:
$11.54
BCBS / Anthem
$13.31
UnitedHealthcare
$16.33
Aetna
$19.26
Cigna
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CPT 85335
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$60.00Published rateChristopher Raio
Mercy Medical Center
$21.08Published rateChristopher Raio
St Joseph Hospital
$15.29Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$10.30Published rateChristopher Raio
St Francis Hospital
$6.95Published rate
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See a sample payer proposalCPT 85335 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85335. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85290-CPT | Low | Blood Clot Stabilization Test, The Blood Clot Stabilization Test Verifies A Deficiency Of Clotting Factor Xiii. A Shortage Of This Factor Causes Wounds To Reopen. |
| 85300-CPT | Low | Blood Clotting Test, Antithrombin Is A Protein That Prevents And Regulates Blood Clotting. The Test Is Done If A Person Or Family Members Have A History Of Blood Clots. |
| 85305-CPT | Low | Blood Clotting Protein Test, Protein S Plays A Role In Regulating The Blood Clotting Process. The Test Is Done If A Person Or Family Members Have A History Of Blood Clots. |
| 85335-CPT | Low | Anti-Clotting Factor Test, The Anti-Clotting Factor Test Checks For Any Protein In The Blood That Prevents Normal Clotting. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85335. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85335 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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