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CPT 87300 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.

Infectious Agent Detection, This Test Identifies Infectious Agents By Introducing A Fluorescent Dye Into A Sample. A Microscope Is Used To Find The Agents That Have Picked Up The Dye.
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Microbiology Procedures

Common Place of Service

81 - Independent Laboratory

21 - Inpatient Hospital

Common Modifiers

None

26 - Professional component

90 - Reference Laboratory

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 87300
Medicaid Fee ScheduleView Medicaid rates for 87300

National average reimbursement for CPT 87300 by major payers:

bcbs

$11.77

uhc

$9.44

aetna

$13.12

cigna

$17.67

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 87300.

CPT 87300
5 of 25 sample ratesHigher to lower in this preview
  1. Lubbock Heritage Hospital, LLC., Grace Surgical Hospital

    Lubbock Heritage Hospital LLC

    TXGeneral Acute Care HospitalNPI 1225289499Tax ID 26-4021016

    $20.11Published rate
  2. Christopher Raio

    St Joseph Hospital

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-3438973

    $14.23Published rate
  3. St Davids Healthcare Partnership Lp LLP, Round Rock Medical Center

    TXGeneral Acute Care HospitalNPI 1649223645Tax ID 74-2781812

    $11.97Published rate
  4. Nocona Hospital District, Nocona General Hospital

    TXGeneral Acute Care HospitalNPI 1689655912Tax ID 75-1368648

    $7.36Published rate
  5. Christopher Raio

    Good Samaritan Hosptial Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1888924

    $6.47Published rate

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

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CPT 87300 vs. Other Microbiology Procedures Codes

The CPT 87300 code is part of the Pathology and Laboratory Procedures services used for Microbiology 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 87300 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
87299-CPTLowInfectious Agent Antigen Detec, Infectious Agent Antigen Detection By Direct Fluorescentantibody Technique Not Otherwise Specified Infectious Agent Antigen Detection By Direct Fluo Rescent
87300-CPTLowInfectious Agent Detection, This Test Identifies Infectious Agents By Introducing A Fluorescent Dye Into A Sample. A Microscope Is Used To Find The Agents That Have Picked Up The Dye.
87301-CPTLowInfectious Agent Antigen Detection By Immunoassay Technique (Eg Enzyme Immunoassay [Eia] Enzyme- Linked Immunosorbent Assay [Elisa] Fluorescence Immunoassay [Fia] Immuno- Chemiluminometric Assay [Imca]) Qualitative Or Semiquantitative; Adenovirus Enteric Types 40/41 (Desc Rvsd 10/6/20)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 87300 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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