go back

Massachusetts 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
$475.70 / $1,861.55 / $2,071.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $475.70 / $1,046.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.11 / $1,182.45 / $3,227.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $679.57 / $2,551.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.32 / $1,454.16 / $2,700.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.20 / $625.20 / $625.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.72 / $485.89 / $1,324.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.55 / $717.07 / $3,033.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.64 / $980.64 / $1,153.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.57 / $679.57 / $2,079.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.45 / $3,227.96 / $3,227.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.81 / $407.74 / $3,397.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $407.74 / $1,404.54