Billing and Pricing Policy
COVID-19 Patient Testing Cash Price for each of the different COVID-19 Test Procedures we offer:*
CPT/HCPCS Code | Laboratory Code Long Descriptor | Cash Pay Price |
|---|---|---|
U0003 | Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), 2 amplified probe technique, making use of high throughput technologies as described by CMS-2020-01-R | $250.00 |
U0005 | Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, CDC or non-CDC, making use of high throughput technologies, completed within two calendar days from date and time of specimen collection. | $50.00 |
87811 | Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) | $100.00 |
Reduced price cash-pay testing for uninsured patients and insurance claims paid within 1 day of receipt
Cash Pay Price | CPT/HCPCS Code |
|---|---|
RT-PCR Tests for SARS-CoV-2 | $99 |
Abbott ID NOW NAAT test for COVID-19 | $90 |
ThermoFisher Scientific Accula SARS-CoV-2 Test | $135 |
Patient Billing Facts
COVID-19 testing could be reimbursed by your health plan or the government, with no out-of-pocket cost, when billed to your health plan or the government, upon verification of your insurance/eligibility information. Curative Labs Inc will submit a claim to your active health plan on your behalf ranging from $250.00 to $300.00 (our published cash price, depending on the test performed).The claims process can be lengthy and confusing, and we want to make it as easy for you as possible. The information below may be helpful.Explanation of benefits (EOB) from your insurance company: You may have already received a written summary of the claim we submitted and its status from your insurance company. This document is called an Explanation of Benefits (EOB). This is not a bill.If you have any questions about this document, or receive any other correspondence from your insurer, please contact us at 888-837-2205.
What to do if you receive a payment from your insurance company
Your insurer may send a payment directly to you rather than paying Curative Labs Inc. If you receive a check from your insurance company for COVID-19 testing, please forward the payment to Curative Labs Inc by endorsing the back of the check with your signature and the words "Pay to the order of Curative Labs Inc."Then mail the signed check and a copy of the EOB to:
Curative Labs Inc. PO BOX 102516 Pasadena, CA 91189-2516
If you have already deposited the check you received, please send a personal check or money order for the full amount of the payment you received, along with any accompanying correspondence to the address listed above. You may also pay with a credit card by calling our Insurance Billing Team at: Phone: (833) 577-0934 Fax correspondence to: (440) 788-2192 Please DO NOT send Cash
How to contact us: Please do not hesitate to contact us at (888) 702-9042 or by email at support@curative.com if you have any questions or need any assistance regarding this process. We sincerely appreciate the opportunity to have participated in your care.
Billing FAQ
Curative is aware that patients may receive an Explanation of Benefits (EOB) for testing or vaccinations from their insurance companies. An EOB is NOT a bill. Curative will NOT “balance bill” you for COVID-19 testing/vaccine services.
What is an EOB, and do I have to pay any balance?
If you receive an Explanation of Benefits (EOB) or other paperwork from your insurance company, this is NOT a bill for Curative services. The document shows a review of services performed by Curative, billed to your insurance company. The report shows the amount the insurance company paid to Curative and the balance not paid. The insurance company may identify balances as “Amount not Covered” “Amount you May Owe” “Not Covered” and/or “Member Responsibility” in the EOB report. As per the CARES Act, you are not responsible for this balance, or any charges related to COVID-19 related services that an insurance company does not cover. You will not receive a bill from Curative requesting payment for the balance not paid by your insurance company unless you are paid directly by your insurance (see above instructions). Please do NOT pay any balances the EOB may say are owed to Curative. While Curative cannot control how your insurance carrier will process your insurance claim or require insurance companies to refrain from issuing EOBs for COVID-19 related services (as this is standard practice), please note that Curative will not seek any payments from balances shown on patients’ EOBs.
Under what circumstances is COVID-19 Testing not covered by private insurance?
COVID-19 testing is NOT reimbursable by private insurance (outside the state of California) for purposes including, but not limited to, the following:
Epidemiological purposes
Surveillance
Community tracking
Employment purposes, including staffing decisions
Determine the need for personal protective equipment
Screening (e.g., travel, sports, school, camp, recreational, social requirement)
For COVID-19 testing services offered in these settings, pricing will be determined according to the type of test offered and the needs of the customer. Please contact support@curative.com for questions.* This represents Curative’s standard list “Cash Price” for individual patients for individual tests. Curative reserves the right, in its sole discretion, to negotiate and/or to accept different pricing with any customer including private and public health plans and individual and institutional customers.
For COVID-19 Testing within the State of California:
California Law. With the recent passage of SB 510, California law makes clear that California health plans are required to pay the provider for COVID-19 diagnostic and screening testing as well as other services (the “California COVID-19 Coverage Law”): [A] health care service plan contract that covers medical, surgical, and hospital benefits, excluding specialized health care service plan contract, shall cover the cost for COVID-19 diagnostic and screening testing and health care services related to diagnostic and screening testing approved or granted emergency use authorization by the federal Food and Drug Administration for COVID-19, regardless of whether the services are provided by an in-network or out-of-network provider. [1]The new California COVID-19 Coverage Law applies to all testing performed since March 4, 2020. [2] It also expressly requires health plans to “reimburse the provider of the testing”. [3]For COVID-19 testing services offered in these settings, pricing will be determined according to the type of test offered and the needs of the customer. Please contact support@curative.com for questions.* This represents Curative’s standard list “Cash Price” for individual patients for individual tests. Curative reserves the right, in its sole discretion, to negotiate and/or to accept different pricing with any customer including private and public health plans and individual and institutional customers.
