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Fragile X Gene Test

South Dakota rates for HCPCS 81243

A laboratory test on a blood sample that examines a specific gene on the X chromosome for an abnormally expanded stretch of repeated genetic letters. That expansion is the cause of fragile X syndrome, an inherited condition that can cause developmental delay and intellectual disability. The test identifies whether such an expansion is present.

Rates data updated July 2026.

Facilitymedian $110 · 10th–90th $65$1100%50%10th$110Professionalmedian $85 · 10th–90th $29$1350%10%10th90th$85$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
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$77.62
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$288.40
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$75.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54