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Pennsylvania 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
$714.55 / $2,900.76 / $3,515.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.72 / $680.93 / $714.55
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.71 / $655.71 / $655.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.80 / $1,092.83 / $2,789.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $966.01 / $1,207.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.70 / $495.98 / $1,138.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.06 / $2,383.25 / $3,515.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.72 / $689.33 / $3,471.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.80 / $1,092.83 / $2,789.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $966.01 / $1,207.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.65 / $840.65 / $840.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.77 / $840.65 / $840.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.07 / $504.39 / $1,538.39