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Washington, DC 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 $117 · 10th–90th $42–$3470%20%10th90th$117Professionalmedian $46 · 10th–90th $26–$1200%20%40%10th90th$46$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$41.69 / $117.49 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $45.71 / $104.71
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $218.78 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $95.50 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $72.44 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $100.00 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $25.70 / $53.70