go back

Rhode Island 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
$3,907.53 / $3,907.53 / $3,907.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $475.70 / $557.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.57 / $800.40 / $869.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.68 / $509.68 / $540.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.68 / $1,803.68 / $1,803.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.55 / $780.98 / $976.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $407.74 / $980.14