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Louisiana 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
$37.10 / $48.23 / $171.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $42.35 / $52.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.64 / $64.53 / $94.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $38.50 / $38.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.58 / $87.25 / $271.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.24 / $36.26 / $72.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $21.00 / $49.00