go back

Connecticut 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
$116.11 / $141.78 / $340.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.97 / $99.21 / $266.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.17 / $162.66 / $318.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $128.33 / $261.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.34 / $184.10 / $554.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.15 / $124.87 / $276.37
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.85 / $165.00 / $232.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $79.48 / $216.51