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Michigan 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
$104.71 / $114.82 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $104.71 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $138.04 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $263.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $213.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $190.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $123.03 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $91.20 / $151.36