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Nebraska 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
$554.83 / $554.83 / $594.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.83 / $554.83 / $554.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.18 / $1,153.63 / $2,249.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.88 / $1,277.79 / $1,378.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $1,526.90 / $1,908.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.39 / $1,054.18 / $3,993.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.39 / $504.39 / $1,681.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.78 / $1,654.40 / $2,312.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.78 / $1,471.14 / $2,312.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.29 / $504.39 / $924.72