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Maine 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
$274.83 / $274.83 / $687.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.61 / $222.61 / $274.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.95 / $404.00 / $1,966.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $109.93 / $261.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.21 / $586.21 / $586.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.19 / $278.24 / $340.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $274.83 / $277.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $274.83 / $687.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.61 / $274.83 / $274.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $164.90 / $480.95