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Maine 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
$679.57 / $679.57 / $1,698.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.45 / $550.45 / $679.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.62 / $825.47 / $2,349.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.83 / $299.01 / $2,289.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.50 / $1,449.50 / $1,449.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.39 / $718.28 / $976.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.57 / $679.57 / $686.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.57 / $679.57 / $1,698.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.45 / $679.57 / $679.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $407.74 / $985.38