COVID-19 Laboratory Test Pricing
Published 01/25/2021
The following list includes Medicare payment amounts for COVID-19 tests. This list includes national pricing established by CMS and Jurisdiction J and M Palmetto GBA contractor-priced codes. The 2020 pricing is effective on or after an individual code’s effective date.
|
HCPCS code
|
2020 Price
|
2021 Pricing
|
|
U0001
|
$35.91
|
$35.91
|
|
U0002
|
$51.31
|
$51.31
|
|
U0003
|
$100.00
|
$75.00
|
|
U0004
|
$100.00
|
$75.00
|
|
CPT code
|
2020 Price
|
2021 Pricing
|
|
0202U
|
$298.60
|
$416.78
|
|
0223U
|
$298.60
|
$298.60
|
|
0224U
|
$42.13
|
$42.13
|
|
0225U
|
$298.60
|
$298.60
|
|
0226U
|
$42.28
|
$42.28
|
|
0240U
|
$142.63
|
$142.63
|
|
0241U
|
$142.63
|
$142.63
|
|
86408
|
$42.13
|
$42.13
|
|
86409
|
$79.61
|
$79.61
|
|
86413
|
$51.43
|
$51.43
|
|
86769
|
$42.13
|
$42.13
|
|
87426
|
$35.33
|
$35.33
|
|
87635
|
$51.31
|
$51.31
|
|
87636
|
$142.63
|
$142.63
|
|
87637
|
$142.63
|
$142.63
|
|
87811
|
$41.38
|
$41.38
|