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Arkansas rates for HCPCS 0312U

Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorbent immunoassay (ELISA), flow cytometry and indirect immunofluorescence, serum, or plasma and whole blood, individual components reported along with an algorithmic SLE-likelihood assessment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.22 / $1,059.22 / $1,462.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.39 / $1,059.22 / $1,059.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.68 / $882.68 / $882.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.41 / $546.41 / $840.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.41 / $633.85 / $1,256.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $966.01 / $1,207.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.07 / $504.39 / $840.65