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Vermont 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
$192.38 / $340.79 / $1,767.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.84 / $311.08 / $617.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.84 / $311.08 / $617.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.05 / $274.83 / $634.97