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CPT 86717 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.

Leishmania Antibody Test, The Test Checks For Antibodies To The Parasite Group Leishmania Which Cause Intestinal Upset. Antibodies Indicate A Past Or Current Infection.
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Immunology Procedures

Common Place of Service

81 - Independent Laboratory

22 - On Campus Outpatient Hospital

Common Modifiers

90 - Reference Laboratory

26 - Professional component

Complexity LevelLow
Medicare Fee Schedule$12.25 national lab fee schedule rate (2026) · View Medicare rates for 86717
Medicaid Fee Schedule$11.27 median of the 8 states in the free preview · View Medicaid rates for 86717

National average reimbursement for CPT 86717 by major payers:

bcbs

$10.89

uhc

$12.68

aetna

$14.33

cigna

$17.83

Compare published rates across providers.

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CPT 86717
5 of 25 sample ratesHigher to lower in this preview
  1. Da Pediatric Rehabilitation

    FLHome Health AgencyNPI 1801164967Tax ID 27-0939565

    $60.00Published rate
  2. Eastland Memorial Hospital District, Eastland Memorial Hospital

    TXGeneral Acute Care HospitalNPI 1689650921Tax ID 75-2313255

    $14.69Published rate
  3. Chca Womans Hospital Lp, Woman'S Hospital Of Texas

    Chca Womans Hospital Lp

    TXGeneral Acute Care HospitalNPI 1023065794Tax ID 62-1810381

    $12.25Published rate
  4. Nevada Eye Care Professionals Little & Stein, Ltd.

    Nevada Eye Care Professionals

    NVSingle Specialty GroupNPI 1730106824Tax ID 88-0316581

    $7.19Published rate
  5. E 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

    FLHome Health AgencyNPI 1598375651Tax ID 83-2289173

    $4.28Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 86717 vs. Other Immunology Procedures Codes

The CPT 86717 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 86717 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.

CodeComplexityDescription
86717-CPTLowLeishmania Antibody Test, The Test Checks For Antibodies To The Parasite Group Leishmania Which Cause Intestinal Upset. Antibodies Indicate A Past Or Current Infection.
86720-CPTLowBacteria Immunity Test, This Test Verifies Exposure To Leptospira Bacteria Which Are Transmitted By Animals. If Antibodies Are Present Immunity Is Likely.
86723-CPTLowFood Poisoning Immune Test, The Test Checks For Antibodies To Listeria Monocytogenes A Bacteria Commonly Responsible For Food Poisoning.
86727-CPTLowVirus Antibody Blood Test, The Test Detects Antibodies To The Lymphocytic Choriomeningitis Virus Which Is Carried By Rodents. The Presence Of Antibodies In The Blood 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 86717. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 86717 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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