| Code | Description | States | Median rate |
|---|---|---|---|
| 83001 | FSH (follicle stimulating hormone) level | 46 | $17.93 |
| 83002 | LH (luteinizing hormone) level | 46 | $17.87 |
| 83003 | Growth hormone level | 46 | $16.30 |
| 83006 | Growth stimulation expressed gene 2 (ST2) level | 27 | $63.43 |
| 83009 | H. pylori blood urease test | 44 | $60.62 |
| 83010 | Haptoglobin test, quantitative | 46 | $12.30 |
| 83012 | ST2 heart failure marker test | 45 | $22.86 |
| 83013 | H. pylori breath test, non-radioactive | 45 | $60.62 |
| 83014 | H. pylori breath test drug dose | 44 | $7.73 |
| 83015 | Heavy metal screen | 46 | $19.03 |
| 83018 | Heavy metal level, each, quantitative | 46 | $19.76 |
| 83020 | Hemoglobin electrophoresis | 47 | $12.85 |
| 83021 | Hemoglobin fractionation by chromatography | 46 | $17.66 |
| 83026 | Hemoglobin by copper sulfate method | 45 | $3.37 |
| 83030 | Fetal hemoglobin test, chemical | 47 | $9.67 |
| 83036 | Hemoglobin A1c (blood sugar average) | 46 | $9.01 |
| 83037 | Hemoglobin A1c by home device | 32 | $9.27 |
| 83045 | Methemoglobin test, qualitative | 46 | $5.81 |
| 83050 | Methemoglobin test, quantitative | 46 | $7.26 |
| 83051 | Free hemoglobin test, plasma | 46 | $6.58 |
| 83060 | Sulfhemoglobin test, quantitative | 46 | $7.92 |
| 83065 | Thermolabile hemoglobin test | 45 | $8.01 |
| 83068 | Unstable hemoglobin screen | 45 | $8.52 |
| 83069 | Hemoglobin test, urine | 45 | $3.85 |
| 83070 | Hemosiderin test | 46 | $4.26 |
| 83080 | Hexosaminidase enzyme test (Tay-Sachs), each | 43 | $15.18 |
| 83088 | Histamine level test | 45 | $28.79 |
| 83090 | Homocysteine blood test | 46 | $17.52 |
| 83150 | Homovanillic acid (HVA) urine test | 46 | $19.79 |
| 83491 | 17-hydroxycorticosteroids urine test | 46 | $17.11 |
| 83497 | 5-HIAA (serotonin metabolite) urine test | 46 | $12.44 |
| 83498 | 17-hydroxyprogesterone hormone test | 46 | $26.56 |
| 83500 | Hydroxyproline test, free | 46 | $22.14 |
| 83505 | Hydroxyproline test, total | 46 | $23.75 |
| 83521 | Free light chains (kappa, lambda) test, each | 39 | $15.20 |
| 83525 | Insulin level test, total | 46 | $11.07 |
| 83527 | Insulin level test, free | 46 | $11.85 |
| 83528 | Intrinsic factor test | 45 | $17.84 |
| 83540 | Iron level | 46 | $6.26 |
| 83550 | Iron binding capacity | 46 | $8.55 |
| 83570 | Isocitric dehydrogenase (IDH) enzyme test | 46 | $8.54 |
| 83582 | Ketosteroids urine test, total | 46 | $14.30 |
| 83586 | Ketosteroids urine test, fractionated | 46 | $12.65 |
| 83593 | Ketogenic steroids urine test, fractionated | 46 | $25.65 |
| 83605 | Lactate (lactic acid) blood test | 46 | $10.41 |
| 83615 | LDH level | 46 | $5.97 |
| 83625 | LDH enzyme test | 46 | $11.51 |
| 83630 | Stool lactoferrin test, qualitative | 44 | $17.52 |
| 83631 | Stool lactoferrin test, quantitative | 42 | $18.21 |
| 83632 | Human placental lactogen test | 45 | $19.71 |
| 83633 | Lactose urine test, qualitative | 45 | $9.00 |
| 83655 | Lead level blood test | 47 | $11.54 |
| 83661 | Fetal lung maturity L/S ratio | 45 | $21.44 |
| 83662 | Fetal lung maturity foam stability test | 46 | $18.49 |
| 83663 | Fetal lung maturity fluorescence polarization test | 46 | $16.92 |
| 83664 | Fetal lung maturity lamellar body count | 46 | $17.29 |
| 83670 | Leucine aminopeptidase enzyme test | 45 | $8.83 |
| 83690 | Lipase level | 46 | $6.74 |
| 83695 | Lipoprotein(a) blood test | 46 | $13.07 |
| 83698 | Lp-PLA2 (PLAC) test | 43 | $40.84 |
| 83700 | Lipoprotein electrophoresis | 44 | $10.98 |
| 83701 | Lipoprotein subclass fractionation | 45 | $29.58 |
| 83704 | Lipoprotein particle count (NMR) | 43 | $31.18 |
| 83718 | HDL cholesterol | 46 | $7.91 |
| 83719 | VLDL cholesterol, direct | 46 | $11.53 |
| 83721 | LDL cholesterol, direct | 46 | $9.45 |
| 83722 | Small dense LDL cholesterol level | 37 | $29.80 |
| 83727 | LHRH hormone test | 45 | $17.11 |
| 83735 | Magnesium level | 46 | $6.62 |
| 83775 | Malate dehydrogenase enzyme test | 46 | $7.21 |
| 83785 | Manganese level test | 45 | $23.99 |
| 83789 | Mass spectrometry test, non-drug substance | 40 | $21.70 |
| 83825 | Mercury level test | 46 | $15.08 |
| 83835 | Metanephrines test | 46 | $16.56 |
| 83857 | Methemalbumin test | 46 | $10.37 |
| 83861 | Tear osmolarity test (dry eye) | 42 | $20.23 |
| 83864 | Mucopolysaccharides test, quantitative | 46 | $24.56 |
| 83872 | Joint fluid mucin test (Ropes) | 46 | $5.66 |
| 83873 | Myelin basic protein, spinal fluid | 46 | $16.60 |
| 83874 | Myoglobin test | 46 | $12.76 |
| 83876 | Myeloperoxidase (MPO) test | 41 | $43.23 |
| 83880 | BNP heart failure marker | 46 | $35.33 |
| 83883 | Nephelometry test, each analyte | 43 | $12.24 |
| 83885 | Nickel level test | 46 | $22.06 |
| 83915 | 5-nucleotidase enzyme test | 46 | $10.90 |
| 83916 | Oligoclonal bands test | 45 | $24.65 |
| 83918 | Organic acid test, total, quantitative | 45 | $20.70 |
| 83919 | Organic acid test, qualitative | 45 | $16.12 |
| 83921 | Organic acid test, single, quantitative | 46 | $19.09 |
| 83930 | Blood osmolality | 46 | $6.38 |
| 83935 | Urine osmolality | 46 | $6.49 |
| 83937 | Osteocalcin bone marker test | 43 | $29.25 |
| 83945 | Oxalate level test | 46 | $13.01 |
| 83950 | HER-2/neu oncoprotein blood test | 43 | $64.41 |
| 83951 | DCP liver cancer marker test | 42 | $64.41 |
| 83970 | Parathyroid hormone test | 46 | $40.35 |
| 83986 | pH test, body fluid | 45 | $3.42 |
| 83987 | Exhaled breath condensate pH | 31 | $3.58 |
| 83992 | Phencyclidine (PCP) level (retired code) | 33 | $15.90 |
| 83993 | Stool calprotectin test | 46 | $19.44 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.