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Arizona 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
$239.63 / $387.65 / $1,049.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.20 / $211.44 / $223.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.25 / $688.32 / $1,090.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.56 / $251.00 / $1,215.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.67 / $427.35 / $769.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.57 / $154.00 / $316.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.20 / $262.99 / $480.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $110.46 / $1,309.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $110.46 / $157.79