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Iowa 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
$840.65 / $1,635.40 / $2,287.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.83 / $647.29 / $647.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $1,526.90 / $1,908.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.55 / $1,092.84 / $1,471.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.65 / $1,092.84 / $3,283.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.39 / $504.39 / $2,169.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.62 / $1,471.14 / $2,312.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.78 / $1,471.14 / $2,169.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.39 / $504.39 / $1,933.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.11 / $840.65 / $840.65