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Nationwide rates for HCPCS 81514

Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $457.09 / $1,174.90	Facility	$223.87	$457.09	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $398.11	Professional	$158.49	$213.80	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $1,202.26	Facility	$263.03	$354.81	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $416.87	Professional	$104.71	$120.23	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $501.19 / $1,174.90	Facility	$169.82	$501.19	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $630.96	Professional	$125.89	$302.00	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $316.23	Facility	$158.49	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $316.23	Professional	$109.65	$158.49	$316.23

Nationwide rates for HCPCS 81514

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