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Idaho 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
$1,533.35 / $1,533.35 / $2,185.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.46 / $1,639.27 / $1,639.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,278.52 / $3,278.52 / $3,278.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.32 / $966.01 / $1,207.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.62 / $1,639.27 / $1,737.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.65 / $840.65 / $1,008.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $840.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.98 / $1,681.30 / $3,026.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.55 / $1,256.19 / $1,298.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.07 / $353.07 / $1,008.78