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Minnesota 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
$638.79 / $638.79 / $638.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $523.27 / $638.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.36 / $453.74 / $679.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.66 / $679.57 / $679.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.58 / $2,498.48 / $5,962.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.79 / $991.85 / $1,319.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.56 / $2,265.90 / $4,694.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.98 / $780.98 / $1,234.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.57 / $1,257.20 / $3,227.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $611.61 / $1,558.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $543.66 / $1,447.26