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See a sample rate comparisonCPT 86750 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.
Malaria Antibody Test, This Test Detects Antibodies To Plasmodium The Bacteria That Causes Malaria. The Presence Of Antibodies Indicates Immunity From A Vaccine Or A Past Infection.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $13.19 national lab fee schedule rate (2026) · View Medicare rates for 86750 |
| Medicaid Fee Schedule | $12.135 median of the 8 states in the free preview · View Medicaid rates for 86750 |
National average reimbursement for CPT 86750 by major payers:
$12.18
$13.47
$14.65
$19.25
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CPT 86750
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$29.02Published rateChristopher Raio
Mercy Medical Center
$17.41Published rateWaccamaw Community Hospital, Tidelands Waccamaw Community Hospital
Waccamaw Community Hospital
$13.18Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$9.42Published rateBrittany Ptachick
Hroa 401k Plan
$5.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86750 vs. Other Immunology Procedures Codes
The CPT 86750 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 86750 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 |
|---|---|---|
| 86741-CPT | Low | Meningitis Antibody Test, The Test Detects Antibodies To Neisseria Meningitis The Bacteria That Causes Meningitis (Brain Swelling). The Presence Of Antibodies In Spinal Fluid Or Blood Indicates A Past Or Current Infection. |
| 86744-CPT | Low | Nocardia Bacteria Immune Test, The Test Identifies Antibodies To Nocardia Bacteria Which Creates Open Sores Or Lung Infections. Generally The Bacteria Infect Immune-Compromised People. |
| 86747-CPT | Low | Parvovirus B19 Test, This Blood Test Detects Antibodies To Parvovirus B19 Which Causes Fifth Disease. This Virus Is Most Common In Children And Causes A Characteristic Rash. Adults May Have Joint Pain And Swelling. |
| 86750-CPT | Low | Malaria Antibody Test, This Test Detects Antibodies To Plasmodium The Bacteria That Causes Malaria. The Presence Of Antibodies Indicates Immunity From A Vaccine Or A 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 86750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86750 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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