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Montana rates for HCPCS 81253

GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.75 / $395.57 / $395.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.20 / $104.58 / $350.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.20 / $89.20 / $89.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.20 / $104.58 / $350.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $55.37 / $89.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.84 / $25.84 / $61.52