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Illinois 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)])

Facilitymedian $60 · 10th–90th $35–$1050%10%10th90th$60Professionalmedian $29 · 10th–90th $26–$600%20%40%10th90th$29$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $60.26 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $28.84 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $123.03 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $42.66 / $58.88
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $120.23 / $263.03
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $34.67