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Colorado 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 $141 · 10th–90th $44–$2750%10%10th90th$141Professionalmedian $49 · 10th–90th $24–$870%10%10th90th$49$5.0$20.0$100.0$500.0$2.0K

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
$36.31 / $100.00 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $165.96 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $37.15 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $81.28 / $134.90
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $57.54 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $57.54