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Wisconsin 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
$52.48 / $100.00 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $37.15 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $120.23 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $144.54 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $107.15 / $141.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $181.97 / $263.03
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $53.70 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.92 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $104.71 / $147.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $213.80 / $213.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $223.87 / $223.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $245.47 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $74.13