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Connecticut 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
$123.03 / $213.80 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $190.55 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $151.36 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $162.18 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $275.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $77.62 / $213.80