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New Hampshire 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
Facility
Modifier
Low / Median / High Price
$65.59 / $140.38 / $1,894.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.49 / $88.08 / $88.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.83 / $110.42 / $284.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $37.07 / $37.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.53 / $225.90 / $250.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.49 / $111.32 / $236.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.04 / $82.79 / $187.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $34.22 / $72.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.85 / $59.63 / $3,375.00