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Arizona 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
$31.89 / $70.00 / $139.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.45 / $28.85 / $225.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.13 / $91.62 / $145.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $33.40 / $161.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.28 / $61.43 / $102.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $26.21 / $34.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.80 / $35.00 / $63.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $21.00