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North Carolina 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
$676.08 / $676.08 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,023.29 / $1,288.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $831.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $831.76 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $416.87 / $831.76
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07