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Arizona 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
$112.20 / $426.58 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $107.15 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $251.19 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $120.23 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $138.04 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $109.65 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $128.82 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $63.10 / $616.60
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 / $63.10 / $74.13