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Florida rates for HCPCS 81430

Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRNR1, MYO7A, MYO15A, PCDH15, OTOF, SLC26A4, TMC1, TMPRSS3, USH1C, USH1G, USH2A, and WFS1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.50 / $1,982.50 / $4,842.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.00 / $1,137.50 / $1,332.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.75 / $1,868.75 / $1,868.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.38 / $1,248.41 / $6,109.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.43 / $1,708.95 / $2,759.01
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.00 / $1,267.50 / $2,031.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.00 / $1,072.50 / $1,462.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.00 / $1,625.00 / $2,437.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.75 / $682.50 / $2,546.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.75 / $975.00 / $975.00