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Fragile X Gene Test

Hawaii rates for HCPCS 81243

A laboratory test on a blood sample that examines a specific gene on the X chromosome for an abnormally expanded stretch of repeated genetic letters. That expansion is the cause of fragile X syndrome, an inherited condition that can cause developmental delay and intellectual disability. The test identifies whether such an expansion is present.

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $47$690%10%20%10th90th$56Professionalmedian $72 · 10th–90th $60$1020%20%10th90th$72$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
HMSA
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$69.18
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$57.54
Typical High
$69.18
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$77.62
Typical High
$104.71