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Wyoming 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
$122.22 / $122.22 / $122.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.76 / $122.22 / $122.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.78 / $189.00 / $391.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.25 / $244.25 / $244.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.28 / $198.66 / $291.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $63.37 / $150.88