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Pennsylvania 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)

Facilitymedian $115 · 10th–90th $40$1950%10%20%10th90th$115Professionalmedian $36 · 10th–90th $28$1020%20%40%10th90th$36$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$41.69 / $114.82 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $36.31 / $131.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $213.80 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $74.13 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $47.86 / $102.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $39.81 / $60.26
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $74.13 / $128.82
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $57.54 / $154.88
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $52.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $39.81 / $54.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $44.67 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $44.67 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $60.26