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Alaska rates for HCPCS 81431

Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 genes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,897.79 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $977.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $467.74 / $676.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $2,691.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,511.89 / $2,691.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,513.56 / $1,513.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $562.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $676.08 / $2,041.74