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Kansas 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 $105 · 10th–90th $58–$1700%10%10th90th$105Professionalmedian $52 · 10th–90th $37–$930%10%10th90th$52$10.0$20.0$50.0$100.0$200.0

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
$54.95 / $104.71 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $48.98 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $104.71 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $53.70 / $83.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $61.66 / $83.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $57.54 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $57.54