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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
$87.10 / $288.40 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $125.89 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $158.49 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $426.58 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $128.82 / $141.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $446.68
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $85.11