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Maryland 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 $427 · 10th–90th $380–$6760%20%40%10th90th$427Professionalmedian $724 · 10th–90th $490–$8910%20%10th90th$724$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $870.96
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $724.44 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,023.29 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $977.24 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $407.38 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $25.70 / $1,348.96