go back

West Virginia 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 $65–$1350%20%10th90th$85Professionalmedian $46 · 10th–90th $38–$680%20%40%10th90th$46$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
$64.57 / $85.11 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $66.07
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $77.62 / $93.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $77.62 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $169.82 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $275.42 / $275.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $25.70 / $63.10