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Monoclonal Protein Detection By Mass Spectrometry

Texas rates for HCPCS 0077U

Looks for a monoclonal protein — an abnormal antibody made by a single clone of plasma cells — in someone being checked for a plasma cell disorder such as myeloma. The abnormal antibody is pulled out of the sample and identified by mass spectrometry, and the report also states which antibody class it belongs to. Blood or urine can be used.

Facilitymedian $68 · 10th–90th $30$2000%5%10%10th90th$68Professionalmedian $33 · 10th–90th $20$440%10%20%10th90th$33$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$75.86
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$104.71
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$64.57
Typical High
$79.43
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$97.72
Christus
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$89.13
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$63.10
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$43.65
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$53.70
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$93.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$43.65
Typical High
$120.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$43.65
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$36.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$22.39
Typical High
$43.65