CMS has posted[1] the amounts that every MAC is paying for COVID-19 lab tests, including antibody tests. Some hospitals have been holding claims for the two antibody tests because it was unclear until recently what the payment would be.[2]
MAC Jurisdiction |
MAC States/Territories |
U0001 Test Price |
U0002 Test Price |
87635 Test Price |
86769 Test Price |
86328 Test Price |
---|---|---|---|---|---|---|
J6 – NGS |
Illinois, Minnesota, Wisconsin |
$35.91 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
JK – NGS |
Connecticut, New York, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont |
$35.91 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
JH – Novitas |
Arkansas, Colorado, New Mexico, Oklahoma, Texas, Louisiana, Mississippi |
$35.92 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
JL – Novitas |
Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania; Part B services include Arlington and Fairfax counties in Virginia, and the city of Alexandria, Virginia |
$35.92 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
JN – FCSO |
Florida, Puerto Rico, U.S. Virgin Islands |
$35.92 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
JJ – Palmetto |
Alabama, Georgia, Tennessee |
$35.91 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
JM – Palmetto |
North Carolina, South Carolina, Virginia, West Virginia |
$35.91 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
JE – Noridian |
California, Hawaii, Nevada, American Samoa, Guam, the Northern Mariana Islands |
$35.91 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
JF – Noridian |
Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming |
$35.91 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
J5 – WPS |
Iowa, Kansas, Missouri, Nebraska |
$35.92 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
J8 – WPS |
Indiana, Michigan |
$35.92 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |
J15 – CGS |
Kentucky, Ohio |
$35.92 |
$51.31 |
$51.31 |
$42.13 |
$45.23 |