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Kentucky 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
$39.68 / $100.22 / $543.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.55 / $97.78 / $122.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.36 / $110.00 / $128.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.30 / $60.36 / $60.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.66 / $171.11 / $201.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.55 / $165.00 / $244.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.44 / $95.10 / $242.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.56 / $141.82 / $589.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.92 / $90.53 / $150.88