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New York 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
$29.75 / $54.60 / $98.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $28.86 / $52.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $91.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.47 / $51.35
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $35.00 / $35.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $35.00 / $35.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $73.94 / $93.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $54.20 / $113.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $73.50 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $36.75 / $65.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $33.25 / $62.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.13 / $85.13 / $254.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.17 / $61.25 / $105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $21.00 / $53.05
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.10 / $37.10 / $37.10
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $35.00 / $41.20