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Louisiana 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
$288.40 / $380.19 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $524.81 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $338.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $524.81 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $275.42 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $389.05