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Montana 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
Professional
Modifier
Low / Median / High Price
$316.05 / $1,767.16 / $1,767.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.27 / $368.27 / $368.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.50 / $467.21 / $1,566.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.80 / $398.50 / $398.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.50 / $467.21 / $1,566.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.35 / $247.35 / $398.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $274.83