go back

Washington, DC rates for HCPCS 81108

Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa], antigen CD61 [GPIIIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-4a/b (R143Q)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.67 / $91.67 / $747.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.67 / $91.67 / $95.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.22 / $134.44 / $134.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.60 / $206.54 / $444.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.39 / $192.87 / $951.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.55 / $248.44 / $248.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $73.33 / $239.92