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Georgia 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 $74 · 10th–90th $38$1910%20%10th90th$74Professionalmedian $54 · 10th–90th $29$1000%10%10th90th$54$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$38.02 / $104.71 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $54.95 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $64.57 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $114.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $79.43 / $123.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $74.13 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $93.33 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $57.54 / $181.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $74.13 / $446.68
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $70.79 / $120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $77.62