go back

Idaho 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
$63.17 / $63.17 / $91.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $52.50 / $68.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $72.80 / $136.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.01 / $30.60 / $57.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.11 / $68.25 / $75.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $42.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $31.50 / $68.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.50 / $70.00 / $126.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $61.48 / $61.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $40.25