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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Procedures
  3. K1034
  4. Cost Analysis

How Much Does Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count Cost on Medicare?

Cost analysis for CPT K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count

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Average Medicare Payment

N/A

Total Payments (Latest)

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Services (Latest)

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Price Change (–)

N/A

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. AE averages $11.76 vs VI at $8.09.

StateAvg PaymentTotal PaymentsServicesProviders
AE$11.76$9.8M829.4K1
ID$11.74$28.0M2.4M120
OK$11.73$40.1M3.4M325
AL$11.73$50.2M4.3M460
IL$11.72$476.3M40.6M1.1K
TX$11.72$293.4M25.0M2.5K
LA$11.71$23.5M2.0M406
NV$11.70$27.4M2.3M234
MS$11.66$7.8M671.6K209
IN$11.66$35.5M3.0M646
FL$11.65$198.2M17.0M2.9K
CO$11.64$28.9M2.5M419
PR$11.62$6.1M521.3K140
MI$11.60$70.2M6.0M1.1K
MT$11.59$2.1M181.0K62
AR$11.58$5.0M435.8K290
CA$11.57$163.3M14.1M2.8K
NY$11.57$108.7M9.4M1.8K
KY$11.54$7.6M659.1K329
GA$11.53$17.7M1.5M911
IA$11.51$2.9M252.8K337
OH$11.45$26.1M2.3M1.1K
NJ$11.43$34.4M3.0M1.0K
MO$11.37$5.1M447.9K594
ND$11.35$48.0K4.2K8
WI$11.32$4.1M363.8K513
AZ$11.26$6.9M615.1K512
TN$11.24$6.0M538.1K685
SD$11.22$437.6K39.0K70
NE$11.21$893.4K79.7K156
WY$11.20$114.1K10.2K32
MN$11.15$4.4M391.8K457
DC$11.10$203.0K18.3K37
PA$11.10$29.9M2.7M1.6K
NC$11.07$8.4M761.9K1.0K
SC$11.05$4.9M447.2K548
MD$11.05$5.5M498.4K516
NM$11.01$1.0M91.5K140
MA$10.98$11.5M1.0M697
KS$10.92$1.4M130.2K280
CT$10.91$5.4M497.7K431
RI$10.90$2.1M190.0K110
VA$10.89$6.4M588.3K824
HI$10.87$3.0M271.9K101
DE$10.84$1.1M100.7K121
WV$10.73$851.2K79.3K146
NH$10.67$2.0M187.8K185
ME$10.63$1.0M94.8K104
VT$10.61$584.6K55.1K62
UT$10.59$505.7K47.7K135
WA$10.39$2.5M244.6K513

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Orchard Laboratories CorpClinical LaboratoryMI$51.1M4.3M$11.76
Cipher Global LlcClinical LaboratoryIL$45.0M3.8M$11.76
Chicago Care Lab Services LlcClinical LaboratoryIL$33.4M2.8M$11.76
Medshield Labs LlcClinical LaboratoryTX$31.5M2.7M$11.76
Luna Labs LlcClinical LaboratoryIL$31.4M2.7M$11.76
All Family Pharmacy LlcPharmacyFL$30.5M2.6M$11.76
J's Pharmacy LlcPharmacyAL$28.8M2.4M$11.76
SvalClinical LaboratoryTX$27.3M2.3M$11.76
Enigma Management Corp Dba Alliance LaboratoryClinical LaboratoryNY$27.2M2.3M$11.76
Lone Star Medlab Laboratory LlcClinical LaboratoryTX$27.2M2.3M$11.76
Vra Enterprises, LlcPharmacyFL$26.6M2.3M$11.76
Tru Script Pharmacy LlcPharmacyOK$26.0M2.2M$11.76
Mars Lab Services IncClinical LaboratoryIL$25.8M2.2M$11.76
Dna Analytical Laboratory Lv LlcClinical LaboratoryNV$24.9M2.1M$11.76
Ez Rx Boynton Beach LlcPharmacyFL$23.1M2.0M$11.76
S K Diagnostics IncClinical LaboratoryIL$21.4M1.8M$11.76
Us Spa CorpClinical LaboratoryIL$20.4M1.7M$11.76
Ipseity Diagnostics LlcClinical LaboratoryTX$19.1M1.6M$11.76
Western Labs CompanyClinical LaboratoryIL$18.4M1.6M$11.76
Chicago Laboratory Consultant LlcClinical LaboratoryIL$18.4M1.6M$11.76

🤔 Is Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count Overpriced?

Based on the data, CPT K1034 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.