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Montana 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
Professional
Modifier
Low / Median / High Price
$28.52 / $85.56 / $98.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.43 / $64,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.43 / $76.43 / $76.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.71 / $96.97 / $325.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.71 / $82.71 / $82.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.71 / $96.97 / $325.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $82.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $23.96 / $57.04