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Vermont 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
Professional
Modifier
Low / Median / High Price
$105.62 / $187.10 / $785.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.56 / $204.56 / $204.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $170.83 / $304.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.56 / $204.56 / $204.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $170.83 / $304.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.39 / $150.88 / $282.38