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See a sample rate comparisonCPT 87623 Fee Schedule
Medicare rates as of January 2026
CPT 87623 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
Test For Papilloma Virus (Hpv), Test For Human Papilloma Virus (Hpv). The Test May Be Done Along With The Pap Test As Part Of A Womans Annual Pelvic Exam. The Test Also May Be Done To Evaluate An Abnormal Pap Result.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office 72 - Rural Health Clinic |
| Common Modifiers | 90 - Reference Laboratory 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | $35.09 national lab fee schedule rate (2026) · View Medicare rates for 87623 |
| Medicaid Fee Schedule | $34.65 median of the 8 states in the free preview · View Medicaid rates for 87623 |
National average reimbursement for CPT 87623 by major payers:
$33.84
BCBS / Anthem
$24.59
UnitedHealthcare
$35.92
Aetna
$71.16
Cigna
Compare published rates across providers.
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CPT 87623
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$77.20Published rateChristopher Raio
St Francis Hospital
$46.32Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$28.07Published rateAaron Askew
Desert Bone & Joint Specialists, LLP
$20.08Published rateE 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
$12.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87623 vs. Other Microbiology Procedures Codes
The table lists codes related to 87623. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 87534-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Hiv-1 Direct Probe Technique Infectious Ag Ent Detection By Nucleic Acid (Dna Or Rna) |
| 87623-CPT | Low | Test For Papilloma Virus (Hpv), Test For Human Papilloma Virus (Hpv). The Test May Be Done Along With The Pap Test As Part Of A Womans Annual Pelvic Exam. The Test Also May Be Done To Evaluate An Abnormal Pap Result. |
| 87624-CPT | Low | Test For Papilloma Virus (Hpv), Test For Human Papilloma Virus (Hpv). The Test May Be Done Along With The Pap Test As Part Of A Womans Annual Pelvic Exam. The Test Also May Be Done To Evaluate An Abnormal Pap Result. |
| 87625-CPT | Low | Test For Papilloma Virus (Hpv), Test For Human Papilloma Virus (Hpv). The Test May Be Done Along With The Pap Test As Part Of A Womans Annual Pelvic Exam. The Test Also May Be Done To Evaluate An Abnormal Pap Result. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87623. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87623 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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