COVID-19 Testing
Payer Information
| Test Name | Description | CPT / HCPCS Codes | Price | Cash Price/Cost |
|---|---|---|---|---|
| SARS-CoV-2 PCR (COVID-19) Test (non-CDC - high throughput) | The test is designed to detect the virus that causes COVID-19 in respiratory specimens, for example nasal or oral swabs. | U0004 | Premier Lab Solutions will accept a health plans allowed amount as payment in full and any charges billed will be up to a maximum of $1,000. | Patient responsibility is zero for medically appropriate testing ordered by an authorized provider |
| SARS-CoV-2 PCR (COVID-19) Test (CDC - high throughput) | The test is designed to detect the virus that causes COVID-19 in respiratory specimens, for example nasal or oral swabs. | U0003 | Premier Lab Solutions will accept a health plans allowed amount as payment in full and any charges billed will be up to a maximum of $1,000. | |
| SARS-CoV-2 (COVID-19) Antibody Test (IgG or IgM) | This test may detect an immune response to a prior or recent infection with SARS-CoV-2 (COVID-19). | 86769 | Premier Lab Solutions will accept a health plans allowed amount as payment in full and any charges billed will be up to a maximum of $170. | Patient responsibility is zero for medically appropriate testing ordered by an authorized provider |
| SARS-CoV-2 Serology (COVID-19) Antibodies (IgG, IgM), Immunoassay | The test is designed to detect IgG and IgM antibodies in a blood sample that may indicate exposure to SARS-CoV-2 (COVID-19). | 86769 x2 | Premier Lab Solutions will accept a health plans allowed amount as payment in full and any charges billed will be up to a maximum of $340. | Patient responsibility is zero for medically appropriate testing ordered by an authorized provider |
| SARS-CoV-2 Rapid Antigen Testing | Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) | 87426 | Premier Lab Solutions will accept a health plan's allowed amount as payment in full and any charges billed will be up to a maximum of $100 | |
| Xpert® Xpress SARS-CoV-2/Flu/RSV | NFCT DS VIR RESP RNA 4 TRGT | 0241U | Premier Lab Solutions will accept a health plan's allowed amount as payment in full and any charges billed will be up to a maximum of $300. | |
| SARS-CoV-2 Rapid Antigen Testing | This test detects SARS-Cov-2 antigens present in the blood. | U0003 - no longer used as of 9/1/21 | Premier Lab Solutions will accept a health plans allowed amount as payment in full and any charges billed will be up to a maximum of $1,000. | Patient responsibility is zero for medically appropriate testing ordered by an authorized provider |
Consistent with provisions of the federal legislation surrounding Covid-19, patients will not have cost-share for testing.
Payer amount may vary based on coverage and contracted rates.
For COVID testing, Premier Lab Solutions will bill the U0005 add-on code for testing that meets the federal guideline of a 2-day turnaround for results.
