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Nebraska 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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.01 / $25.01 / $31.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.75 / $33.75 / $50.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $50.52 / $65.25