COVID-19 Testing

Payer Information

Test NameDescriptionCPT / HCPCS CodesPriceCash 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.U0004Premier 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.U0003Premier 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).86769Premier 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), ImmunoassayThe test is designed to detect IgG and IgM antibodies in a blood sample that may indicate exposure to SARS-CoV-2 (COVID-19).86769 x2Premier 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 TestingInfectious 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])87426Premier 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
SARS-CoV-2 Rapid Antigen TestingThis test detects SARS-Cov-2 antigens present in the blood.U0003 - no longer used as of 9/1/21Premier 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.

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