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Wisconsin 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
Facility
Modifier
Low / Median / High Price
$60.10 / $70.23 / $113.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.76 / $44.36 / $50.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $73.56 / $73.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $90.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $73.56 / $73.56