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Iowa rates for HCPCS U0005

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique, CDC or non-CDC, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either HCPCS code U0003 or U0004) as described by CMS-2020-01-R2

Facilitymedian $158 · 10th–90th $23–$2290%10%20%10th90th$158Professionalmedian $32 · 10th–90th $25–$340%20%40%10th90th$32$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $89.13 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $64.57 / $74.13
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $158.49 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14