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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)

Facilitymedian $120 · 10th–90th $49$2090%20%10th90th$120Professionalmedian $42 · 10th–90th $18$1410%10%10th90th$42$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$52.48 / $100.00 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $36.31 / $57.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $120.23 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $144.54 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $77.62 / $141.25
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $186.21 / $281.84
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $302.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $57.54 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $26.92 / $138.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $58.88 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $53.70 / $128.82
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $125.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $104.71 / $151.36
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $213.80 / $213.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $223.87 / $223.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $245.47 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $36.31 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $67.61