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Indiana 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 / $190.55 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $100.00 / $117.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $123.03 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $138.04 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $74.13 / $134.90