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


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