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Mississippi 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
$122.22 / $223.66 / $248.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.55 / $223.66 / $248.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.74 / $188.74 / $188.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.74 / $188.74 / $188.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.44 / $83.41 / $126.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.62 / $116.85 / $232.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $122.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.36 / $75.45 / $231.81