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Missouri 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
$812.83 / $1,412.54 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $616.60 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $977.24 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,479.11 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $831.76 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,000.00