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Arizona 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
$645.65 / $1,698.24 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,513.56 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $707.95 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $645.65 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,023.29 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $630.96 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $676.08