| Code | Description | States | Median rate |
|---|---|---|---|
| 88104 | Cytopathology of fluids, smears with interpretation | 47 | $54.75 |
| 88120 | Urine FISH test for bladder cancer, manual | 43 | $435.32 |
| 88121 | Urine FISH test for bladder cancer, computer-assisted | 43 | $315.92 |
| 88125 | Forensic cell exam (sperm) | 37 | $22.36 |
| 88130 | Barr body sex chromatin test | 43 | $16.18 |
| 88140 | Sex chromatin test, blood smear drumsticks | 42 | $7.83 |
| 88141 | Pap test physician interpretation | 47 | $19.65 |
| 88142 | Pap test, liquid-based, automated screen | 46 | $18.77 |
| 88143 | Liquid-based Pap test with manual screen and rescreen | 45 | $20.74 |
| 88147 | Pap smear, automated screening | 45 | $40.45 |
| 88148 | Pap smear, automated screening with manual rescreen | 43 | $16.02 |
| 88150 | Pap smear, manual screening | 44 | $14.83 |
| 88152 | Pap smear with manual and computer rescreen | 44 | $22.11 |
| 88153 | Pap smear with manual screen and rescreen | 45 | $19.22 |
| 88155 | Pap slide hormonal evaluation (add-on) | 46 | $11.80 |
| 88160 | Cell smear screening and interpretation, other source | 47 | $55.64 |
| 88161 | Cell smear preparation, screening and interpretation | 47 | $55.65 |
| 88162 | Cell smear extended study, over 5 slides | 47 | $83.79 |
| 88164 | Pap smear (Bethesda), manual screening | 45 | $15.15 |
| 88165 | Pap smear (Bethesda) with manual screen and rescreen | 46 | $34.37 |
| 88166 | Pap smear (Bethesda), manual and computer rescreen | 45 | $14.83 |
| 88167 | Pap smear (Bethesda), manual and computer cell review | 45 | $14.83 |
| 88172 | Needle biopsy adequacy check, first, each site | 45 | $44.92 |
| 88173 | Needle biopsy cell interpretation and report | 45 | $123.95 |
| 88174 | Liquid-based Pap test, automated screening | 46 | $22.59 |
| 88175 | Pap test, liquid-based, computer-assisted screen | 46 | $24.83 |
| 88177 | Needle biopsy adequacy check, each added, same site | 44 | $23.59 |
| 88182 | Flow cytometry, DNA or cell cycle analysis | 46 | $104.04 |
| 88184 | Flow cytometry, first marker, technical | 47 | $59.92 |
| 88185 | Flow cytometry, each added marker, technical | 47 | $19.67 |
| 88187 | Flow cytometry interpretation, 2 to 8 markers | 47 | $33.29 |
| 88188 | Flow cytometry interpretation, 9 to 15 markers | 47 | $53.35 |
| 88189 | Flow cytometry interpretation, 16 or more markers | 47 | $69.64 |
| 88199 | Unlisted cytopathology test | 12 | $15.30 |
| 88230 | Chromosome culture, lymphocytes | 45 | $104.84 |
| 88233 | Chromosome culture, skin or solid tissue | 45 | $125.92 |
| 88235 | Chromosome culture, amniotic fluid or villus cells | 45 | $135.27 |
| 88237 | Chromosome culture, bone marrow or blood, for cancer | 46 | $126.23 |
| 88239 | Chromosome culture, solid tumor | 45 | $132.77 |
| 88240 | Cell or tissue cryopreservation, each cell line | 37 | $11.58 |
| 88241 | Cell or tissue thawing, each aliquot | 37 | $10.82 |
| 88245 | Chromosome breakage analysis, sister chromatid exchange | 45 | $155.85 |
| 88248 | Chromosome breakage analysis, baseline | 45 | $169.28 |
| 88249 | Chromosome breakage analysis with clastogen stress | 44 | $169.71 |
| 88261 | Chromosome analysis, 5 cells, 1 karyotype | 44 | $228.65 |
| 88262 | Chromosome analysis, 15 to 20 cells, 2 karyotypes | 45 | $124.02 |
| 88263 | Chromosome analysis, 45 cells for mosaicism | 45 | $146.38 |
| 88264 | Chromosome analysis, 20 to 25 cells, 2 karyotypes | 46 | $137.06 |
| 88267 | Chromosome analysis, amniotic fluid or villus, 15 cells | 45 | $181.32 |
| 88269 | Chromosome analysis, amniotic fluid colonies, 1 karyotype | 44 | $166.66 |
| 88271 | Molecular cytogenetics, DNA probe, each | 44 | $20.08 |
| 88272 | Chromosome FISH, 3 to 5 cells | 43 | $34.60 |
| 88273 | Chromosome FISH, 10 to 30 cells (microdeletions) | 43 | $33.91 |
| 88274 | Interphase FISH, 25 to 99 cells | 44 | $38.14 |
| 88275 | Interphase FISH, 100 to 300 cells | 44 | $46.07 |
| 88280 | Chromosome analysis, each added karyotype | 46 | $30.54 |
| 88283 | Chromosome analysis, added specialized banding | 44 | $61.02 |
| 88285 | Chromosome analysis, additional cells counted | 46 | $23.58 |
| 88291 | Chromosome test interpretation and report | 46 | $25.65 |
| 88299 | Unlisted cytogenetic test | 12 | $21.32 |
| 88300 | Tissue exam, gross only (level I) | 47 | $13.63 |
| 88302 | Tissue exam, gross and microscopic (level II) | 47 | $28.41 |
| 88304 | Surgical pathology, gross and microscopic, level III | 47 | $36.73 |
| 88305 | Surgical pathology, gross and microscopic, level IV | 47 | $60.86 |
| 88307 | Surgical pathology, gross and microscopic, level V | 47 | $218.28 |
| 88309 | Tissue exam, gross and microscopic (level VI) | 47 | $316.34 |
| 88311 | Bone decalcification for tissue exam | 47 | $16.03 |
| 88312 | Special stain, group I, microorganisms | 47 | $80.02 |
| 88313 | Special tissue stain, group II | 47 | $60.32 |
| 88314 | Special stain on frozen tissue (add-on) | 47 | $68.15 |
| 88319 | Special tissue stain, enzymes | 45 | $105.00 |
| 88321 | Pathology consultation on outside slides | 46 | $70.82 |
| 88323 | Pathology consultation with slide preparation | 45 | $92.70 |
| 88325 | Pathology consultation, comprehensive, with records | 46 | $124.79 |
| 88329 | Pathology consultation during surgery | 46 | $42.40 |
| 88331 | Frozen section during surgery, first block | 47 | $78.59 |
| 88332 | Frozen section during surgery, each added block | 47 | $42.61 |
| 88333 | Cell exam during surgery (touch prep), first site | 46 | $73.34 |
| 88334 | Cell exam during surgery (touch prep), each added site | 46 | $43.78 |
| 88341 | Immunohistochemistry stain, each added antibody | 47 | $70.33 |
| 88342 | Immunohistochemistry stain, first antibody | 47 | $81.69 |
| 88344 | Immunohistochemistry stain, multiplex antibody | 47 | $127.91 |
| 88346 | Immunofluorescence stain, first antibody | 47 | $106.13 |
| 88348 | Electron microscopy of tissue | 47 | $388.17 |
| 88350 | Immunofluorescence stain, each added antibody | 45 | $83.10 |
| 88355 | Muscle morphometric analysis | 45 | $123.45 |
| 88356 | Nerve morphometric analysis | 45 | $188.07 |
| 88358 | Tumor morphometric analysis (DNA ploidy) | 45 | $105.49 |
| 88360 | Tumor marker stain scoring (HER2, ER/PR), manual | 47 | $96.20 |
| 88361 | Tumor marker stain scoring (HER2, ER/PR), computer-assisted | 47 | $99.16 |
| 88362 | Nerve fiber teasing preparation | 43 | $179.18 |
| 88363 | Archived tissue selection for molecular testing | 39 | $18.50 |
| 88364 | In situ hybridization (FISH), each added probe | 45 | $100.86 |
| 88365 | In situ hybridization (FISH), first probe | 47 | $134.45 |
| 88366 | In situ hybridization (FISH), multiplex probe | 43 | $207.45 |
| 88367 | FISH scoring, computer-assisted, first probe | 47 | $100.36 |
| 88368 | FISH scoring, manual, first probe | 47 | $127.37 |
| 88369 | FISH scoring, manual, each added probe | 45 | $94.77 |
| 88371 | Tissue Western blot with interpretation | 47 | $21.22 |
| 88372 | Tissue Western blot band probe, each | 46 | $23.60 |
| 88373 | FISH scoring, computer-assisted, each added probe | 41 | $52.56 |
| 88374 | FISH scoring, computer-assisted, multiplex probe | 43 | $215.27 |
| 88377 | FISH scoring, manual, multiplex probe | 44 | $303.23 |
| 88380 | Laser microdissection of tissue | 33 | $102.54 |
| 88381 | Tissue microdissection, manual | 41 | $158.97 |
| 88387 | Tissue preparation for molecular testing, each | 44 | $27.15 |
| 88399 | Unlisted surgical pathology test | 11 | $27.84 |
| 88720 | Bilirubin by skin sensor (transcutaneous) | 42 | $4.66 |
| 88738 | Hemoglobin by skin sensor (transcutaneous) | 40 | $4.97 |
| 88740 | Carbon monoxide hemoglobin by skin sensor, per day | 40 | $7.86 |
| 88741 | Methemoglobin by skin sensor, per day | 40 | $7.63 |
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.