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South Dakota rates for HCPCS 81513

Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens, algorithm reported as a positive or negative result for bacterial vaginosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $147.91 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $104.71 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $162.18 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $707.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $331.13 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $162.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25