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Assays via Agarose Electrophoresis
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National
Limit
2025 Laboratory Fee Schedule
2025 Physician Fee Schedule
Fee schedules do not reflect 2% Payment Adjustment (Sequestration).
Click here for more information.
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HYDRAGEL® Hemoglobin Assays
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| Test Performed |
Procedure Code |
Medicare Coverage |
National Limit |
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Hemoglobin electrophoresis
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83020
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$12.87
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Hemoglobin electrophoresis, Professional Component
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83020-26
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$17.14
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Hemoglobin; glycosylated (A1C)
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83036
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$9.71
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| Test Performed |
Procedure Code |
Medicare Coverage |
National Limit |
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Protein, total
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84155
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$3.67
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Oligoclonal immune (oligoclonal bands)
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83916
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$27.39
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Protein, total, refractometric
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84160
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$5.61
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Protein, electrophoretic fractionation and quantitation
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84165
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$10.74
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Protein, electrophoretic fractionation and quantitation, Professional Component
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84165-26
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$17.14
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Protein, electrophoretic fractionation and quantitation, other fluids with concentration
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84166
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$17.83
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Protein, electrophoretic fractionation and quantitation, other fluids with concentration, Professional Component
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84166-26
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$17.14
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HYDRAGEL® Immunofixation Assays
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| Test Performed |
Procedure Code |
Medicare Coverage |
National Limit |
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Immunofixation electrophoresis
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86334
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$22.34
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Immunofixation electrophoresis, Professional Component
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86334-26
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$17.14
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Immunofixation electrophoresis; other fluids with concentration (eg,urine, CSF)
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86335
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$29.35
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Immunofixation electrophoresis; other fluids with concentration (eg,urine, CSF), Professional Component
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86335-26
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$17.14
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Hydrashift daratumumab Immunofixation
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86334
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$22.34
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HYDRAGEL® Isoenzymes Assays
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| Test Performed |
Procedure Code |
Medicare Coverage |
National Limit |
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Creatine kinase (CK), (CPK); isoenzymes
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82552
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$13.39
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Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation
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83625
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$12.79
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Phosphatase, alkaline; isoenzymes
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84080
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$14.78
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HYDRAGEL® Lipoprotein Assays
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| Test Performed |
Procedure Code |
Medicare Coverage |
National Limit |
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Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)
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83718
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$8.19
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Lipoprotein, direct measurement; direct measurement, VLDL cholesterol
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83719
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$12.75
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Lipoprotein, direct measurement; direct measurement, LDL cholesterol
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83721
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$10.50
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Apolipoprotein, each
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82172
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$21.09
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