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See a sample rate comparisonCPT 86727 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.
Virus 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 21 - Inpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.87 national lab fee schedule rate (2026) · View Medicare rates for 86727 |
| Medicaid Fee Schedule | $11.84 median of the 8 states in the free preview · View Medicaid rates for 86727 |
National average reimbursement for CPT 86727 by major payers:
$11.81
$13.23
$14.16
$19.23
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CPT 86727
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$40.00Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$16.99Published rateMethodist Hospitals Of Dallas, Methodist Mansfield Medical Center
Methodist Hospitals Of Dallas
$12.86Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$7.72Published rateAsya Segalene
Allergy & Asthma Of Dupage, S.C.
$5.25Published rate
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See a sample payer proposalCPT 86727 vs. Other Immunology Procedures Codes
The CPT 86727 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 86727 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 |
|---|---|---|
| 86717-CPT | Low | Leishmania Antibody Test, The Test Checks For Antibodies To The Parasite Group Leishmania Which Cause Intestinal Upset. Antibodies Indicate A Past Or Current Infection. |
| 86723-CPT | Low | Food Poisoning Immune Test, The Test Checks For Antibodies To Listeria Monocytogenes A Bacteria Commonly Responsible For Food Poisoning. |
| 86727-CPT | Low | Virus 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. |
| 86732-CPT | Low | Fungal Infection Test, The Test Checks For Antibodies To The Mucormycosis Fungus. Positive Results Indicate Current Or Past Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86727. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86727 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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