go back

Arizona rates for HCPCS 81172

AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X intellectual disability 2 [FRAXE]) gene analysis; characterization of alleles (eg, expanded size and methylation status)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.43 / $405.10 / $1,096.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.14 / $220.97 / $1,767.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.41 / $719.31 / $1,139.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.33 / $262.30 / $1,270.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.61 / $482.33 / $803.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.81 / $206.57 / $340.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.14 / $274.83 / $496.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $1,374.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $164.90