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Utah 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
$2,264.34 / $2,264.34 / $2,264.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.52 / $536.86 / $781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.86 / $597.41 / $1,872.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.44 / $780.98 / $1,243.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.57 / $781.51 / $2,752.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.97 / $733.28 / $814.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.42 / $285.42 / $407.74