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Nebraska 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
$448.52 / $448.52 / $679.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.52 / $448.52 / $4,369.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.18 / $1,162.94 / $2,249.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.65 / $1,052.31 / $1,114.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.98 / $1,234.44 / $1,543.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.74 / $1,020.53 / $3,227.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $407.74 / $1,963.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.17 / $1,293.72 / $2,667.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.48 / $1,293.72 / $1,773.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.10 / $1,155.27 / $1,386.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.35 / $407.74 / $1,325.16