go back

New Jersey 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
$360.17 / $835.87 / $3,887.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.17 / $509.68 / $577.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.28 / $1,497.61 / $3,114.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.55 / $704.60 / $985.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.60 / $407.74 / $905.19
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.43 / $543.66 / $649.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.01 / $407.74 / $696.56