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New Mexico 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 $182 · 10th–90th $51–$4570%10%20%10th90th$182Professionalmedian $52 · 10th–90th $4–$930%10%20%10th90th$52$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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 / $181.97 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $54.95 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $302.00 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $46.77 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $51.29 / $64.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $70.79 / $123.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $74.13 / $123.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $51.29 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $33.88