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Nationwide rates for HCPCS 81243

FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles

Facilitymedian $95 · 10th–90th $51$2820%10%10th90th$95Professionalmedian $58 · 10th–90th $31$1000%10%20%10th90th$58$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $77.62 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $37.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $120.23 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $69.18 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $57.54 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $83.18