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Utah 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
$86.48 / $252.46 / $881.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.23 / $128.37 / $211.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.91 / $125.39 / $393.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.58 / $158.49 / $261.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.63 / $164.02 / $577.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.41 / $144.13 / $170.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $85.58 / $85.58