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Tennessee 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
$512.86 / $562.34 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,445.44 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $1,023.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $5,128.61 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $407.38 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $676.08