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Connecticut 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
$172.92 / $262.99 / $623.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.38 / $172.92 / $574.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.53 / $308.30 / $633.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.12 / $249.20 / $503.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.01 / $845.87 / $1,509.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.61 / $249.74 / $546.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.09 / $350.30 / $499.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.98 / $157.79 / $461.52