go back

Missouri 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
$103.89 / $164.30 / $283.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.89 / $106.33 / $140.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.22 / $128.33 / $564.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.36 / $108.78 / $264.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.41 / $230.06 / $297.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.61 / $76.52 / $191.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.33 / $152.78 / $580.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $90.53 / $611.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $80.30 / $158.40