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South Carolina 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
$95.50 / $194.98 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $104.71 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $134.90 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $309.03 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $199.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $109.65 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $123.03 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $75.86 / $128.82