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Ohio 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
$25.12 / $25.12 / $27.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $30.20 / $60.26
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $19.95 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $15.14 / $25.12