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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

Facilitymedian $1,122 · 10th–90th $676–$5,7540%20%10th90th$1,122Professionalmedian $537 · 10th–90th $372–$8130%10%10th90th$537$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $912.01 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,513.56 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $724.44 / $1,023.29
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $478.63 / $977.24
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $537.03 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $616.60 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $407.38 / $691.83