SARS-CoV-2/COVID-19 Update for Health Plans (21 April)

Tuesday 21 April 2020, 13:00 | Sonic Healthcare USA

Update for Health Plans:  New Pricing and CPT Code Information

Name of Test                                                                                   CPT Code         Net Price (Expected Net Reimbursement)

SARS-CoV-2/COVID-19, High throughput NAAT           U0003                 $100.00

SARS-CoV-2/COVID-19, IgG                                                    86769                  $42.13*

SARS-CoV-2/COVID-19, IgA                                                    86769                  $42.13*

SARS-CoV-2/COVID-19, IgG/IgM/IgA, Total                     86769                  $42.13*

*Effective April 21, 2020, Sonic Healthcare USA Clinical Laboratories have begun performing serology tests for COVID-19.  In response to this national health crisis and to ensure optimal access for patients, we are offering a single price for all payors.

  • As for all COVID-19 tests, Sonic uses multiple platforms and methodologies for serology testing in order to:
    • maintain critical turnaround time commitment.
    • prevent service interruptions due to platform-specific supply chain issues.
    • resolve indeterminate results or inconsistencies between test results and clinical presentation
  • All tests have received Emergency Use Authorization (EUA) by the FDA.