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Missouri 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 $74 · 10th–90th $56–$1100%10%10th90th$74Professionalmedian $49 · 10th–90th $25–$1000%10%10th90th$49$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
$69.18 / $85.11 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $52.48 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $35.48 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $83.18 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $112.20 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $44.67 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $269.15
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 / $75.86