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Vermont 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
Professional
Modifier
Low / Median / High Price
$28.85 / $28.86 / $225.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $58.58 / $58.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.65 / $78.65 / $78.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $58.58 / $58.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.75 / $22.75 / $78.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $35.00 / $157.50