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Tennessee 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 $58 · 10th–90th $43–$2340%10%10th90th$58Professionalmedian $48 · 10th–90th $34–$1200%10%10th90th$48$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$42.66 / $53.70 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $47.86 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $57.54 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $120.23 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $35.48 / $79.43
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $426.58 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $57.54