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Michigan 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
$33.25 / $33.25 / $51.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $33.25 / $52.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.39 / $39.59 / $69.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $26.25 / $27.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $17.76 / $78.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.93 / $33.25 / $61.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.93 / $33.25 / $59.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $31.87 / $52.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $21.00 / $35.00