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Utah 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
$28.18 / $91.20 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $34.67 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $39.81 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $47.86 / $95.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $81.28 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $44.67 / $616.60
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $44.67
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $39.81 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $26.92