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Massachusetts 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
$28.86 / $95.88 / $106.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $28.86 / $53.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.90 / $107.17 / $166.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $35.00 / $138.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.06 / $74.78 / $138.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.77 / $21.77 / $21.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.75 / $56.28 / $85.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $33.51 / $91.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.42 / $50.42 / $59.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $108.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.90 / $166.25 / $166.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $66.70