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Rhode Island 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
$794.33 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $316.23 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $165.96 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $398.11