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Louisiana 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
$891.09 / $1,213.06 / $4,421.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.49 / $933.12 / $1,092.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.26 / $1,641.71 / $2,586.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $247.86 / $307.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.41 / $5,937.95 / $6,383.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.54 / $966.01 / $1,207.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.26 / $420.33 / $1,260.98