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Hawaii 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
$216.97 / $245.90 / $315.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.28 / $218.28 / $218.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.02 / $315.58 / $315.58
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.64 / $425.27 / $495.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.29 / $315.58 / $368.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.99 / $315.58 / $394.49
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.54 / $355.04 / $591.73