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Vermont 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
Professional
Modifier
Low / Median / High Price
$105.62 / $187.10 / $785.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.56 / $204.56 / $204.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $170.83 / $304.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.56 / $204.56 / $204.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $170.83 / $304.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.39 / $141.21 / $282.38