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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
$1,071.52 / $2,187.76 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $977.24
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,288.25 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,202.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $1,230.27
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $1,445.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $3,715.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $3,019.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $831.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $630.96 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $831.76 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,258.93