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See a sample rate comparisonCPT 85337 Fee Schedule
Medicare rates as of January 2026
CPT 85337 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Blood Protein Test, This Blood Protein Test Is Related To Proper Blood Clotting Activities. The Test Measures Thrombomodulin Which Ensures Clotting Stops At The Right Time.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.27 national lab fee schedule rate (2026) · View Medicare rates for 85337 |
| Medicaid Fee Schedule | $15.89 median of the 8 states in the free preview · View Medicaid rates for 85337 |
National average reimbursement for CPT 85337 by major payers:
$13.87
BCBS / Anthem
$18.14
UnitedHealthcare
$16.32
Aetna
$25.33
Cigna
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CPT 85337
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$37.99Published rateChristopher Raio
St Joseph Hospital
$20.52Published rateTenet Hospitals Limited, The Hospitals Of Providence Memorial Campus
$17.27Published rateChristopher Raio
Mercy Medical Center
$10.36Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$5.82Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 85337 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85337. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85291-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. |
| 85292-CPT | Low | Clot;Prekallikrein Assay (Fletcher) |
| 85337-CPT | Low | Blood Protein Test, This Blood Protein Test Is Related To Proper Blood Clotting Activities. The Test Measures Thrombomodulin Which Ensures Clotting Stops At The Right Time. |
| 85345-CPT | Low | Coagulation Time; Lee & White |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85337. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85337 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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