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Maine rates for HCPCS 81244

FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $34.67 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $181.97 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $25.70 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $44.67 / $45.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $53.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $72.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $42.66 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $44.67 / $69.18