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Montana 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
Professional
Modifier
Low / Median / High Price
$33.88 / $41.69 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $75.86 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $67.61 / $138.04
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $67.61 / $138.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $75.86 / $257.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $44.67