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New Hampshire 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
$63.10 / $114.82 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $87.10 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $162.18 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $46.77 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $100.00