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Maine 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
$35.00 / $35.00 / $87.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $28.85 / $52.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.86 / $46.73 / $186.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.40 / $23.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.65 / $74.65 / $74.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.17 / $35.35 / $36.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $87.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $35.00 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $21.00 / $52.50