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Illinois 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 $52–$1740%10%10th90th$95Professionalmedian $49 · 10th–90th $3–$1000%10%10th90th$49$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $93.33 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $199.53 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $39.81 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $128.82 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $69.18 / $95.50
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $144.54 / $478.63
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $57.54