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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
$676.08 / $676.08 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $676.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $794.33 / $2,344.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $691.83 / $977.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $812.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,096.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $676.08 / $1,023.29