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California rates for HCPCS 0342U

Oncology (pancreatic cancer), multiplex immunoassay of C5, C4, cystatin C, factor B, osteoprotegerin (OPG), gelsolin, IGFBP3, CA125 and multiplex electrochemiluminescent immunoassay (ECLIA) for CA19-9, serum, diagnostic algorithm reported qualitatively as positive, negative, or borderline

Facilitymedian $3,548 · 10th–90th $759–$6,4570%10%10th90th$3,548Professionalmedian $724 · 10th–90th $12–$1,0720%20%40%10th90th$724$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $3,715.35 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,466.84 / $4,570.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $1,479.11
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $4,265.80 / $10,715.19
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $676.08 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,348.96 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,096.48 / $1,380.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $891.25 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $891.25 / $1,584.89
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $912.01 / $2,238.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $851.14 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $489.78 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $537.03 / $1,698.24