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Pennsylvania 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
$550.45 / $1,926.58 / $2,842.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $550.45 / $652.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,347.17 / $3,127.72 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.05 / $530.05 / $530.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.97 / $883.44 / $1,987.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.81 / $767.04 / $1,536.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.60 / $543.66 / $1,148.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.50 / $475.50 / $475.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.63 / $1,926.58 / $2,806.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $557.25 / $2,806.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.76 / $1,019.36 / $1,359.14
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.87 / $1,051.96 / $2,254.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.99 / $767.04 / $1,536.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.57 / $679.57 / $747.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.57 / $679.57 / $747.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $407.74 / $1,155.27