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North Dakota 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
$85.55 / $85.55 / $220.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.55 / $114.89 / $114.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $246.27 / $275.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.41 / $140.41 / $206.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.33 / $95.33 / $220.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $177.22 / $244.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $146.66 / $207.77