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Tennessee 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
$91.20 / $151.36 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $134.90 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $257.04 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $81.28 / $223.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $123.03 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $75.86 / $134.90