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Vermont 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
Professional
Modifier
Low / Median / High Price
$100.00 / $112.20 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $162.18 / $229.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $151.36 / $331.13