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Montana 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.50 / $1,536.50 / $1,536.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.65 / $1,300.65 / $1,300.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.84 / $1,288.56 / $1,300.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.65 / $1,300.65 / $1,300.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $1,076.40 / $1,300.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $897.00