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Nebraska 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 $151 · 10th–90th $34–$2950%10%10th90th$151Professionalmedian $47 · 10th–90th $34–$3800%10%20%10th90th$47$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
$40.74 / $151.36 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $51.29 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $295.12 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $89.13 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $109.65 / $134.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $85.11 / $269.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $165.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $33.88 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.88 / $114.82