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Utah 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 / $28.86 / $64.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.86 / $28.86 / $28.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $30.77 / $96.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $37.59 / $64.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $40.25 / $141.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $38.78 / $85.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $21.00