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Alaska rates for HCPCS 81254

GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb [del(GJB6-D13S1830)] and 232kb [del(GJB6-D13S1854)])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.80 / $241.54 / $410.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.25 / $117.25 / $225.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.69 / $96.69 / $96.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.67 / $167.67 / $167.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $112.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.50 / $129.50 / $140.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $78.75 / $78.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.69 / $129.50 / $167.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $96.25 / $96.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $70.00 / $105.60