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Maine 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.04 / $300.10 / $430.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $57.04 / $88.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.20 / $76.15 / $197.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $22.82 / $37.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.68 / $121.68 / $121.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $57.61 / $60.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.04 / $57.04 / $57.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.04 / $90.99 / $434.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $57.04 / $88.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.09 / $34.22 / $99.82