go back

New Hampshire 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
Facility
Modifier
Low / Median / High Price
$68.90 / $151.40 / $430.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.99 / $83.30 / $83.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.20 / $119.09 / $306.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.61 / $39.97 / $39.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.81 / $232.50 / $265.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.95 / $120.27 / $255.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $89.29 / $202.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.84 / $36.90 / $61.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.53 / $64.31 / $3,375.00