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Hawaii 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
$693.54 / $786.01 / $1,008.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.78 / $1,008.78 / $1,008.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.22 / $880.26 / $1,050.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.65 / $1,008.78 / $1,260.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.07 / $1,008.78 / $1,260.98