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National
2017 Laboratory Fee Schedule

Effective April 1, 2013 and while sequestration is in effect, all CMS payments for services will be reduced by 2%.
The fees below do not reflect this reduction. Click here for more information.



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Index:

  • Blood Gases
  • Chemistry
  • Coagulation
  • Cardiac Markers
  • Pregnancy
  • Piccolo-Tests Performed by Waived Laboratories
  • Piccolo-Tests Performed by CLIA Moderate Complexity Laboratories
  • Tests Performed by Waived Labs Index:
  • 07P0208 Comprehensive Metabolic Panel (Waived)
  • 07P02-04 Basic Metabolic Panel (Waived)
  • 07P0205 Lipid Panel (Waived)
  • 07P0212 Lipid Panel Plus (Waived)
  • 07P0210 Liver Panel Plus (Waived)
  • 07P02-02 Electrolyte Panel (Waived)
  • Comprehensive Metabolic Panel / Lipid Panel (Waived)
  • 07P02-11 General Chemistry 13 (Waived)
  • General Chemistry 12 (Waived)
  • 07P02-01 General Chemistry 6 (Waived)
  • 07P02-09 Kidney Check (Waived)
  • 07P02-07 Renal Panel (Waived)
  • 07P02-03 Metlyte 8 Panel (Waived)
  • Draw Fee
  • Abbott Part # 07P0208 Comprehensive Metabolic Panel (Waived)
    Tests Performed
    Albumin
    Alkaline Phosphatase
    ALT
    AST
    BUN
    Total Calcium CCI  
    Chloride
    Creatinine
    Glucose CCI   NCD
    Potassium
    Sodium
    Total bilirubin
    Carbon dioxide
    Total protein CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Comprehensive Metabolic Panel
    80053-QW
    CCI  
    $14.49


    Abbott Part # 07P02-04 Basic Metabolic Panel (Waived)
    Tests Performed
    Total Calcium CCI  
    Chloride
    Creatinine
    Glucose CCI   NCD
    Potassium
    Sodium
    Carbon dioxide
    BUN
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Basic Metabolic Panel
    80048-QW
    CCI  
    $11.60

    Abbott Part # 07P0205 Lipid Panel (Waived)
    Tests Performed
    Total Cholesterol CCI   NCD
    HDL Cholesterol CCI   NCD
    Triglycerides CCI   NCD
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Lipid Panel
    80061-QW
    CCI   NCD
    $0.00

    Abbott Part # 07P0212 Lipid Panel Plus (Waived)
    Tests Performed
    Total Cholesterol CCI   NCD
    HDL Cholesterol CCI   NCD
    Triglycerides CCI   NCD
    Glucose CCI   NCD
    ALT
    AST
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Lipid Panel
    80061-QW
    CCI   NCD
    Glucose
    82947-QW
    CCI   NCD
    ALT
    84460-QW
    AST
    84450-QW
    Paid as HDL,
    plus 5 automated tests
    $11.24
    + $10.73
    = $ 21.97

    Abbott Part # 07P0210 Liver Panel Plus (Waived)
    Tests Performed
    Albumin
    Alkaline Phosphatase
    ALT
    AST
    Amylase
    GGT NCD
    Total bilirubin
    Total protein CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Albumin
    82040-QW
    Alkaline phosphatase
    84075-QW
    ALT
    84460-QW
    AST
    84450-QW
    Amylase
    82150-QW
    GGT
    82977-QW
    NCD
    Total bilirubin
    82247-QW
    Total protein
    84155-QW
    CCI  
    Paid as Amylase,
    plus 7 automated tests
    $8.89
    + $11.21
    = $ 20.10

    Abbott Part # 07P02-02 Electrolyte Panel (Waived)
    Tests Performed
    Carbon dioxide
    Chloride
    Potassium
    Sodium
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Electrolyte Panel
    80051-QW
    CCI  
    $9.62

    Comprehensive Metabolic Panel / Lipid Panel (Waived)
    Tests Performed
    Albumin
    Alkaline Phosphatase
    ALT
    AST
    BUN
    Total Calcium CCI  
    Chloride
    Creatinine
    Glucose CCI   NCD
    Potassium
    Sodium
    Total bilirubin
    Carbon dioxide
    Total protein CCI  
    Total Cholesterol CCI   NCD
    HDL Cholesterol CCI   NCD
    Triglycerides CCI   NCD
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Comprehensive Metabolic Panel
    80053-QW
    CCI  
    Lipid Panel
    80061-QW
    CCI  
    Paid as HDL,
    plus 16 automated tests
    $11.24
    + $14.49
    = $ 25.73

    Abbott Part # 07P02-11 General Chemistry 13 (Waived)
    Tests Performed
    Albumin
    Alkaline Phosphatase
    Amylase
    ALT
    AST
    BUN
    Total Calcium CCI  
    Creatinine
    Glucose CCI   NCD
    Total bilirubin
    Total protein CCI  
    GGT NCD
    Uric Acid
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Albumin
    82040-QW
    Alkaline phosphatase
    84075-QW
    Amylase
    82150-QW
    ALT
    84460-QW
    AST
    84450-QW
    BUN
    84520-QW
    Total Calcium
    82310-QW
    CCI  
    Creatinine
    82565-QW
    Glucose
    82947-QW
    CCI   NCD
    Total Bilirubin
    82247-QW
    Total protein
    84155-QW
    CCI  
    GGT
    82977-QW
    NCD
    Uric Acid
    84550-QW
    Paid as Amylase,
    plus 12 automated tests
    $8.89
    + $12.39
    = $ 21.28

    General Chemistry 12 (Waived)
    Tests Performed
    Albumin
    Alkaline Phosphatase
    ALT
    AST
    BUN
    Total Calcium CCI  
    Creatinine
    Glucose CCI   NCD
    Total bilirubin
    Total protein CCI  
    GGT NCD
    Uric Acid
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Albumin
    82040-QW
    Alkaline phosphatase
    84075-QW
    ALT
    84460-QW
    AST
    84450-QW
    BUN
    84520-QW
    Total Calcium
    82310-QW
    CCI  
    Creatinine
    82565-QW
    Glucose
    82947-QW
    CCI   NCD
    Total Bilirubin
    82247-QW
    Total protein
    84155-QW
    CCI  
    GGT
    82977-QW
    NCD
    Uric Acid
    84550-QW
    Paid as 12 automated tests $12.39

    Abbott Part # 07P02-01 General Chemistry 6 (Waived)
    Tests Performed
    ALT
    AST
    BUN
    Creatinine
    GGT NCD
    Glucose CCI   NCD
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    ALT
    84460-QW
    AST
    84450-QW
    BUN
    84520-QW
    Creatinine
    82565-QW
    GGT
    82977-QW
    NCD
    Glucose
    82947-QW
    CCI   NCD
    Paid as 6 automated tests $10.76

    Abbott Part # 07P02-09 Kidney Check (Waived)
    Tests Performed
    BUN
    Creatinine
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    BUN
    84520-QW
    Creatinine
    82565-QW
    Paid as 2 automated tests $7.15

    Abbott Part # 07P02-07 Renal Panel (Waived)
    Tests Performed
    Albumin
    Total Calcium CCI  
    Carbon dioxide
    Chloride
    Creatinine
    Glucose CCI   NCD
    Phosphorus
    Potassium
    Sodium
    BUN
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Renal Function Panel
    80069-QW
    CCI  
    $11.91

    Abbott Part # 07P02-03 Metlyte 8 Panel (Waived)
    Tests Performed
    BUN
    Creatinine
    CK CCI  
    Glucose CCI   NCD
    Potassium
    Sodium
    Chloride
    Carbon Dioxide
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Electrolyte Panel
    80051-QW
    CCI  
    BUN
    84520-QW
    Creatinine
    82565-QW
    CK
    82550-QW
    CCI  
    Glucose
    82947-QW
    CCI   NCD
    Paid as 8 automated tests $11.60

    Draw Fee
    Tests Performed
    Routine Venipuncture CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Routine Venipuncture
    36415
    CCI  
    $0.00