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Utah 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
$756.59 / $3,964.53 / $5,197.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.83 / $664.11 / $983.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.54 / $739.02 / $2,316.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $966.01 / $1,207.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $45.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.87 / $966.75 / $1,008.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.47 / $657.61 / $714.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.07 / $353.07 / $504.39