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Washington 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 $85 · 10th–90th $58$2630%10%10th90th$85Professionalmedian $69 · 10th–90th $30$1000%10%10th90th$69$5.0$10.0$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
$53.70 / $91.20 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $70.79 / $100.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $85.11 / $114.82
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $125.89 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $60.26 / $81.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $70.79 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $72.44 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $114.82
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $57.54 / $114.82
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $100.00 / $177.83
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $69.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $85.11 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $57.54 / $102.33