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See a sample rate comparisonCPT 86674 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Parasite Immune Test (Giardia), The Test Checks For Antibodies To The Parasite Giardia Lamblia Which Causes Intestinal Distress. The Presence Of Antibodies Indicates Past Or Current Infection.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology 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 | $14.72 national lab fee schedule rate (2026) · View Medicare rates for 86674 |
| Medicaid Fee Schedule | $13.54 median of the 8 states in the free preview · View Medicaid rates for 86674 |
National average reimbursement for CPT 86674 by major payers:
$13.36
$14.64
$16.51
$22.30
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CPT 86674
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$40.00Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$17.49Published rateTenet Hospitals Limited, The Hospitals Of Providence Sierra Campus
$14.72Published rateSharron Acosta M.D.P.A.
Sharron Acosta, M.D., P.A.
$12.34Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$6.18Published rate
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See a sample payer proposalCPT 86674 vs. Other Immunology Procedures Codes
The CPT 86674 code is part of the Pathology and Laboratory Procedures services used for Immunology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 86674 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 86635-CPT | Low | Valley Fever Antibody Test, Valley Fever Is Caused By The Fungus Coccidioides Immitis Which Is Common In Desert Areas. This Blood Test Detects Antibodies That Indicate A Current Or Past Infection. |
| 86638-CPT | Low | Q Fever Antibody Test, Q Fever Is Caused By Coxiella Burnetii Bacteria. The Test Checks For Antibodies Which Can Indicate A Past Or Current Infection. |
| 86645-CPT | Low | Cytomegalovirus (Cmv) Test, The Test Checks For Antibody Response To Cytomegalovirus (Cmv). Results Can Indicate Either Current Or Previous Cmv Infection. |
| 86674-CPT | Low | Parasite Immune Test (Giardia), The Test Checks For Antibodies To The Parasite Giardia Lamblia Which Causes Intestinal Distress. The Presence Of Antibodies Indicates Past Or Current Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86674. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86674 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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