Section 55, Laboratory Services - Rate Update for Select Codes CR-140135
Effective January 1, 2026, we updated the following reimbursement rates for section 55, in alignment with Medicare. We implemented the new rates for billing on May 20, 2026.
|
CPT Code |
Modifier |
Rate |
|
88106 |
26 |
$17.15 |
|
88112 |
|
$61.50 |
|
88112 |
26 |
$25.34 |
|
88185 |
|
$21.20 |
|
88187 |
|
$33.89 |
|
88300 |
TC |
$10.96 |
|
88302 |
|
$29.96 |
|
88302 |
TC |
$23.56 |
|
88304 |
|
$38.16 |
|
88304 |
TC |
$28.17 |
|
88305 |
|
$66.25 |
|
88305 |
TC |
$32.17 |
|
88323 |
TC |
$27.25 |
|
88355 |
|
$133.57 |
|
88355 |
TC |
$56.65 |
|
88363 |
|
$21.66 |
|
88367 |
|
$98.19 |
|
88367 |
TC |
$67.81 |
|
88367 |
26 |
$30.38 |
|
88368 |
26 |
$39.07 |
|
88380 |
|
$110.73 |
|
88380 |
TC |
$63.31 |
|
88380 |
26 |
$47.42 |
|
88381 |
26 |
$21.57 |
The updated fee schedule is available on the Rate Setting page of the Health PAS Online Portal.
Adjustment Guidance for Dates of Service January 1, 2026 – May 20, 2026
We will adjust all affected claims. No provider action is necessary.
For questions, please contact your Provider Relations Specialist.