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New Mexico 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
$509.68 / $1,019.35 / $2,038.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.68 / $815.48 / $4,369.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $555.89 / $679.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.72 / $441.72 / $441.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.98 / $780.98 / $976.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.76 / $1,053.33 / $1,107.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.74 / $645.59 / $815.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.25 / $781.51 / $944.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $285.42 / $407.74