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Louisiana 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
$128.82 / $177.83 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $263.03 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $134.90 / $186.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $234.42 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $123.03 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $74.13 / $204.17