go back

Wisconsin 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
$245.47 / $371.54 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $380.19 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $213.80 / $363.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $158.49 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $457.09 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $295.12 / $446.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $602.56 / $912.01
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $169.82 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $85.11 / $707.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $131.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $467.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $676.08 / $676.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $575.44 / $707.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $302.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $354.81 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $234.42