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COVID-19 test price information

When billed to health plans or the government

Test Name Description CPT/HCPC Codesa Price Case Price/Cost
SARS-CoV-2 RNA (COVID-19), Qualitative NAATb The test is designed to detect the virus that causes COVID-19 in respiratory specimens, for example, nasal or oral swabs. U0003
U0005 (when applicable)		 Quest will bill your health plan or the government $100.00 or $125.00 depending on the plan Zero out-of-pocket patient responsibility is expected for medically appropriate testing ordered by an authorized provider when billed to a health plan or the government
SARS-CoV-2 Antibody (IgG), Spike, Semi-Quantitative test This test may detect an immune response to a prior or recent infection with SARS-CoV-2 (COVID-19).

 86769 Quest will bill your health plan or the government $55.00c

 Zero out-of-pocket patient responsibility is expected for medically appropriate testing ordered by an authorized provider when billed to a health plan or the government
SARS-CoV-2 Serology (COVID-19) Antibodies (IgG, IgM), Immunoassay The test is designed to detect IgG and IgM antibodies in a blood sample that may indicate exposure to COVID-19. IgM antibodies to COVID-19 are generally detectable in blood several days after initial infection, with IgG antibodies typically reaching detectable levels simultaneously or 1-2 days later.

 86769 x2

 Quest will bill your health plan $110.00c Zero out-of-pocket patient responsibility is expected for medically appropriate testing ordered by an authorized provider when billed to a health plan or the government
SARS-CoV-2 RNA (COVID-19) and Influenza A and B, Qualitative NAAT This is a qualitative multi-target molecular diagnostics test that aids in simultaneous detection of COVID-19, influenza A and influenza B.

 87636 (1)

 Quest will bill your health plan $511.70c Zero out-of-pocket patient responsibility is expected for medically appropriate testing ordered by an authorized provider when billed to a health plan or the government
SARS-CoV-2 RNA (COVID-19), Influenza A/B, and RSV RNA, Qualitative NAAT This is a multitarget molecular test that aids in simultaneous qualitative detection and differentiation of COVID-19, influenza A, influenza B, and respiratory syncytial virus (RSV) viral RNA among symptomatic patients. 0241U Quest will bill your health plan $925.65c Zero out-of-pocket patient responsibility is expected for medically appropriate testing ordered by an authorized provider when billed to a health plan or the government

When patient pays out-of-pocket through questhealth.com

Test Name
 Description CPT/HCPCS Codesa Price* Cash Price/Cost
COVID-19 Active Infection The test is designed to detect the virus that causes COVID-19 in respiratory specimens. This test is for individuals who decide to pay out-of-pocket for the test and do not wish to have their claims submitted for reimbursement to their health plan or the government. NA Total Patient Cash Price/Cost: $125.00*

 

 

*Pricing is comprised of $119.00 for testing and conveyance of results, plus $5.50 for electronic order review by an authorized third-party provider		 $125.00
COVID-19 and Flu Test This is a qualitative multi-target molecular diagnostics test that aids in simultaneous detection of COVID-19, influenza A and influenza B. NA

Total Patient Cash Price/Cost: $205.00* 

 

*Pricing is comprised of $199.00 for testing and conveyance of results, plus $6.00 for independent physician oversight of lab testing including ordering testing if appropriate, and providing physician follow-up services

 $205.00
COVID-19 Antibody Test The test is designed to detect antibodies in a blood sample that would indicate that a patient may have had a prior or recent COVID-19 infection. This test is for individuals who decide to pay out-of-pocket for the test and do not wish to have their claims submitted for reimbursement to their health plan or the government. NA Total Patient Cash Price/Cost: $75.00*

 

 

*Pricing is comprised of $69.00 for testing and conveyance of results, plus $6.00 for independent physician oversight of lab testing including ordering testing if appropriate, and providing physician follow-up services		 $75.00
COVID-19 At-Home Rapid Antigen Test (2-pack) This at-home rapid antigen test includes supervision by a telehealth proctor at eMed Lab, LLC. 87426 Total Patient Cash Price/Cost: $70

 

 $70.00

a The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

b This test is also offered as part of two additional testing panels: a) SARS-CoV-2 RNA (COVID-19) and Respiratory Viral Panel, Qualitative NAAT; b) SARS-CoV-2 RNA (COVID-19) and Respiratory Pathogen Panel, Qualitative NAAT.

c The amount the Payer pays may vary based on coverage and contracted rates.

 

COVID-19 testing statements

  • The antibody tests, molecular tests, and antigen tests (together “All tests”) have not been FDA cleared or approved;
  • All tests have been authorized by FDA under EUAs for use by authorized laboratories;
  • The antibody tests have been authorized only for the detection of IgG antibodies against SARS-CoV-2, not for any other viruses or pathogens;
  • The COVID-19 molecular tests have been authorized only for the detection of nucleic acid from SARS-CoV-2, not for any other viruses or pathogens;
  • The COVID-19 and flu panel test has been authorized only for the simultaneous qualitative detection and differentiation of nucleic acid from SARS-CoV-2, influenza A virus, and influenza B virus, and not for any other viruses or pathogens; and
  • COVID-19, flu, and RSV panel test has been authorized only for the simultaneous qualitative detection and differentiation of nucleic acids from SARS-CoV-2, influenza A, influenza B, and respiratory syncytial virus (RSV), and not for any other viruses or pathogens;
  • The antigen tests have been authorized only for the detection of proteins from SARS-CoV-2, and not for any other viruses or pathogens; and
  • All tests are only authorized for the duration of the declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostics for detection and/or diagnosis of COVID-19 under Section 564(b)(1) of the Act, 21 U.S.C. § 360bbb-3(b)(1), unless the authorization is terminated or revoked sooner.

 

About the FDA Emergency Use Authorization (EUA) Status

This test has been authorized by the FDA under an Emergency Use Authorization (EUA). This means that while Quest Diagnostics has validated the test and has the data to believe the test and the collection kit are accurate, this test has not been FDA cleared or approved; this test has been authorized by FDA under an EUA for use by authorized laboratories; this test has been authorized only for the detection of IgG antibodies against SARS-CoV-2, not for any other viruses or pathogens; and, this test is only authorized for the duration of the declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostics for detection and/or diagnosis of COVID-19 under Section 564(B)(1) of the Act, 21 U.S.C. § 360BBB-3(B)(1), unless the authorization is terminated or revoked sooner. Additional studies need to be conducted for this test and others like it to be FDA cleared or approved.

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