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Maine 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
$122.22 / $122.22 / $305.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $99.00 / $122.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.27 / $179.66 / $1,079.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.89 / $48.89 / $143.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.68 / $260.68 / $260.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.95 / $123.74 / $187.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.22 / $122.22 / $123.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.22 / $122.22 / $305.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $122.22 / $122.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $90.53 / $226.34