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Utah 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
$135.80 / $711.59 / $932.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.80 / $135.80 / $135.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.46 / $107.44 / $336.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.29 / $145.69 / $223.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.22 / $140.55 / $549.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.51 / $146.43 / $167.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $63.37 / $73.33