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Maine 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 / $840.65 / $1,786.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.93 / $680.93 / $680.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,658.55 / $5,377.97 / $6,268.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.26 / $336.26 / $714.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $966.01 / $1,207.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.65 / $840.65 / $1,018.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.65 / $840.65 / $1,361.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.93 / $680.93 / $840.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.39 / $504.39 / $1,218.94