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Michigan 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 $54 · 10th–90th $54–$8130%20%40%90th$54Professionalmedian $54 · 10th–90th $37–$1000%10%10th90th$54$5.0$10.0$20.0$50.0$100.0$200.0$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
$53.70 / $53.70 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $53.70 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $64.57 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $58.88 / $138.04
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $74.13 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $56.23 / $79.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $141.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $60.26 / $89.13
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $57.54 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $57.54