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Oklahoma 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
$91.67 / $122.22 / $293.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.44 / $91.67 / $130.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.44 / $79.44 / $326.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.47 / $111.04 / $189.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.44 / $122.22 / $205.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $63.37 / $183.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.00 / $122.22 / $146.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $63.37 / $135.80