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Idaho 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
$1,226.50 / $1,226.50 / $1,766.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.70 / $1,325.16 / $1,325.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.58 / $720.00 / $2,650.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.70 / $780.98 / $1,124.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.79 / $1,325.16 / $1,457.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.57 / $679.57 / $815.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.87 / $679.57 / $1,325.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.36 / $1,359.14 / $2,446.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.63 / $1,195.58 / $1,195.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $285.42 / $815.48