go back

Arkansas rates for HCPCS 81107

Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex], antigen CD41 [GPIIb]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-3a/b (I843S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.12 / $190.12 / $212.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.53 / $118.55 / $190.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.22 / $203.70 / $203.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.44 / $157.72 / $254.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $111.45 / $203.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.22 / $152.78 / $152.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $75.45 / $166.74