Medicare Administrative Contractor Payments for Antibody Tests

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

This document is only available to subscribers. Please log in or purchase access.
 


Would you like to read this entire article?

If you already subscribe to this publication, just log in. If not, let us send you an email with a link that will allow you to read the entire article for free. Just complete the following form.

* required field