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New Hampshire 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
$169.82 / $309.03 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $234.42 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $446.68 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $147.91 / $512.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $309.03