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Indiana 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
$557.25 / $781.51 / $2,507.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $557.25 / $645.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.86 / $608.22 / $2,038.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $271.83 / $800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.57 / $815.48 / $951.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.57 / $781.51 / $985.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.72 / $679.57 / $1,581.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.82 / $780.98 / $985.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $407.74 / $679.57