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See a sample rate comparisonCPT 87637 Fee Schedule
Medicare rates as of January 2026
CPT 87637 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
Sarscov2 Inf A B Rsv Amp Prb, Infectious Agent Detection By Nucleic Acid Dna Or Rna Severe Acute Respiratory Syndrome Coronavirus 2 Sars Cov 2 Coronavirus Disease Covid 19 Influenza Virus Types A And B And Respiratory Syncytial Virus Multiplex Amplified Probe Technique
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $142.63 national lab fee schedule rate (2026) · View Medicare rates for 87637 |
| Medicaid Fee Schedule | $131.215 median of the 8 states in the free preview · View Medicaid rates for 87637 |
National average reimbursement for CPT 87637 by major payers:
$120.44
BCBS / Anthem
$123.24
UnitedHealthcare
$162.01
Aetna
$184.83
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 87637.
CPT 87637
5 of 25 sample ratesHigher to lower in this preview
Overlook Hospital
Atlantic Health System Inc
$190.67Published rateJohn Sullivan
Slocum Dickson Medical Group PLLC
$164.02Published rateWilliam Gaetano
Slocum Dickson Medical Group PLLC
$90.69Published rateRohin Mehta
Slocum Dickson Medical Group PLLC
$90.69Published rateJanice Schwartz
Slocum Dickson Medical Group PLLC
$63.49Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87637 vs. Other Microbiology Procedures Codes
The table lists codes related to 87637. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 87633-CPT | Moderate | Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Respiratory Virus (Eg Adenovirus Influenza Virus Coronavirus Metapneumovirus Parainfluenza Virus Respiratory Syncytial Virus Rhinovirus) Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique Multiple Types Or Subtypes 12-25 Targets (Desc Revised 01/01/15) |
| 87634-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna) Respiratory Syncytial Virus Amplified Prob E Technique Cancer Detection On Repeat Biopsy Hpa-9ab (V837m) |
| 87635-CPT | Low | Sars Cov 2 Covid 19 Amp Prb, Infectious Agent Detection By Nucleic Acid Dna Or Rna Severe Acute Respiratory Syndrome Coronavirus 2 Sars Cov 2 Coronavirus Disease Covid 19 Amplified Probe Technique |
| 87637-CPT | Low | Sarscov2 Inf A B Rsv Amp Prb, Infectious Agent Detection By Nucleic Acid Dna Or Rna Severe Acute Respiratory Syndrome Coronavirus 2 Sars Cov 2 Coronavirus Disease Covid 19 Influenza Virus Types A And B And Respiratory Syncytial Virus Multiplex Amplified Probe Technique |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87637. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87637 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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Frequently Asked Questions
To find the exact cost of a medical procedure or service based on your specific location and the CPT code, you should use a dedicated fee schedule lookup tool. We recommend using Payerprice, which allows you to search with the CPT code and your specific location to get detailed pricing information. This will help you understand your potential out-of-pocket costs.
Comparing prices for healthcare services across different providers can help you make informed decisions. Payerprice offers a fee schedule lookup tool where you can input a CPT code and specific location to search for prices, enabling you to compare costs for various services and providers in your area.
CPT stands for Current Procedural Terminology. These are standardized codes used by healthcare professionals to describe medical, surgical, and diagnostic services to payers for reimbursement. To understand the cost of a specific service, you can obtain its CPT code from your provider. Then, you can use a tool like Payerprice to look up the fee schedule associated with that CPT code in your specific location, helping you estimate the cost of the service.
The price listed by a doctor or hospital might not always be the final amount you pay, as factors like your insurance coverage, deductibles, co-pays, and out-of-pocket maximums can influence the final cost. To get a more precise estimate for a specific service, you can use a tool like Payerprice, which provides fee schedule lookups based on CPT codes and location. This can help you understand the provider's standard charges, which you can then compare with your insurance benefits and network status.