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Idaho 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
$218.78 / $218.78 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $245.47 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $257.04 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $223.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $181.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $128.82 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $104.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $245.47 / $436.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $128.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $63.10 / $151.36