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See a sample rate comparisonCPT 85460 Fee Schedule
Medicare rates as of January 2026
CPT 85460 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Fetal Cell Blood Count, This Test Checks For An Rh Incompatibility Between The Mother And Fetus And Evaluates The Possibility Of Excess Bleeding During Delivery. A Blood Sample From The Mother Is Checked For The Number Of Fetal Blood Cells.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $7.73 national lab fee schedule rate (2026) · View Medicare rates for 85460 |
| Medicaid Fee Schedule | $7.635 median of the 8 states in the free preview · View Medicaid rates for 85460 |
National average reimbursement for CPT 85460 by major payers:
$7.01
BCBS / Anthem
$5.42
UnitedHealthcare
$9.27
Aetna
$11.51
Cigna
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CPT 85460
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks LLC
$25.50Published rateChristopher Raio
St Joseph Hospital
$10.20Published rateChca Mainland, L.P., Mainland Medical Center
$7.73Published rateChristopher Raio
Mercy Medical Center
$4.64Published rateAscension Seton, Ascension Seton Medical Center Austin
Ascension Seton
$2.94Published rate
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See a sample payer proposalCPT 85460 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85460. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85460-CPT | Low | Fetal Cell Blood Count, This Test Checks For An Rh Incompatibility Between The Mother And Fetus And Evaluates The Possibility Of Excess Bleeding During Delivery. A Blood Sample From The Mother Is Checked For The Number Of Fetal Blood Cells. |
| 85461-CPT | Low | Fetal Rosette (Rh) Blood Test, The Test Takes A Blood Sample From An Rh-Negative Mother After Delivery. When Stained Any Rh-Positive Red Cells In The Sample Will Form A Rosette. This Indicates If The Newborn Bled During The Birthing. |
| 85651-CPT | Low | Red Blood Cell Test, This Test Measures The Rate At Which Red Blood Cells Sink To The Bottom Of A Test Tube. This Is A Nonspecific Test For Inflammation And Primarily Helps Detect Blood Cell And Vessel Conditions. |
| 85652-CPT | Low | Red Blood Cell Test, This Test Measures The Rate At Which Red Blood Cells Sink To The Bottom Of A Test Tube. This Is A Nonspecific Test For Inflammation And Primarily Helps Detect Blood Cell And Vessel Conditions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85460. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85460 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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