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Nebraska 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
$31.62 / $117.49 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.88 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $295.12 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $69.18 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $67.61 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $114.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $42.66 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.92 / $44.67