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New Hampshire 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
$761.12 / $1,672.42 / $4,756.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.70 / $530.05 / $550.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.89 / $1,315.51 / $3,071.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.83 / $441.72 / $498.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.14 / $2,787.12 / $2,933.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.95 / $780.98 / $2,823.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.57 / $986.33 / $2,238.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $407.74 / $679.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.11 / $677.85 / $3,375.00