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See a sample rate comparisonCPT 85705 Fee Schedule
Medicare rates as of January 2026
CPT 85705 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Lupus Anticoagulant Test, Three Tests Are Used To Identify A Specific Type Of Clotting Problem Caused By Lupus Anticoagulant. Typically The Tests Are Done As A Series More Than Once To Ensure The Outcome Is Accurate.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.63 national lab fee schedule rate (2026) · View Medicare rates for 85705 |
| Medicaid Fee Schedule | $9.51 median of the 8 states in the free preview · View Medicaid rates for 85705 |
National average reimbursement for CPT 85705 by major payers:
$8.59
BCBS / Anthem
$10.23
UnitedHealthcare
$11.22
Aetna
$14.24
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 85705.
CPT 85705
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$60.00Published rateChristopher Raio
St Francis Hospital
$11.44Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Faris
Prisma Health - Upstate
$8.67Published rateChristopher Raio
St Joseph Hospital
$5.78Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$3.36Published rate
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See a sample payer proposalCPT 85705 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85705. 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. |
| 85705-CPT | Low | Lupus Anticoagulant Test, Three Tests Are Used To Identify A Specific Type Of Clotting Problem Caused By Lupus Anticoagulant. Typically The Tests Are Done As A Series More Than Once To Ensure The Outcome Is Accurate. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85705. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85705 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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