go back

North Dakota 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 $52 · 10th–90th $39–$1020%20%10th90th$52Professionalmedian $76 · 10th–90th $39–$1290%10%10th90th$76$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
$38.90 / $52.48 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $47.86 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $114.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $102.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $67.61 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $57.54 / $87.10