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Colorado rates for HCPCS 81109

Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 [CD49B, alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant (eg, HPA-5a/b (K505E))

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.89 / $257.31 / $449.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.89 / $92.89 / $114.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.16 / $340.99 / $562.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $51.33 / $122.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.91 / $81.81 / $373.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.08 / $81.73 / $193.45
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.89 / $130.05 / $188.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.78 / $173.55 / $293.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.80 / $135.80 / $135.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $63.37 / $73.33