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Indiana 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
$28.70 / $40.25 / $122.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.65 / $28.70 / $33.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.65 / $31.33 / $105.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $38.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $45.50 / $49.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $42.00 / $52.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.75 / $35.00 / $81.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $31.40 / $50.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $21.00 / $38.47