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Minnesota 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
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $107.15 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $467.74 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $177.83 / $251.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $416.87 / $891.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $234.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $218.78 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $100.00 / $263.03