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Arkansas rates for HCPCS 81105

Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa], antigen CD61 [GPIIIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-1a/b (L33P)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $181.97 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $120.23 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $75.86 / $165.96