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Indiana 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 $58 · 10th–90th $58–$1700%20%40%90th$58Professionalmedian $49 · 10th–90th $26–$1000%20%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
$57.54 / $89.13 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $51.29 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $70.79
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $69.18 / $79.43
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $57.54 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $51.29 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $63.10