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Montana 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
Professional
Modifier
Low / Median / High Price
$407.74 / $781.51 / $4,369.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.62 / $910.62 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.62 / $910.62 / $910.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.38 / $1,325.16 / $2,008.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.98 / $985.38 / $985.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.38 / $1,325.16 / $2,008.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.61 / $611.61 / $985.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $285.42 / $679.57