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Tennessee 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 / $169.59 / $427.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.67 / $95.33 / $116.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $150.88 / $286.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.44 / $269.22 / $472.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.62 / $90.28 / $240.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.66 / $580.54 / $580.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.10 / $611.10 / $916.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $75.45 / $150.88