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Arkansas 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.37 / $331.37 / $457.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.79 / $255.10 / $331.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.99 / $262.99 / $315.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.94 / $170.94 / $262.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.94 / $198.29 / $471.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.95 / $239.56 / $409.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $157.79 / $312.72