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Idaho 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
$316.42 / $683.77 / $1,556.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.09 / $247.21 / $512.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.13 / $547.01 / $1,025.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.67 / $196.12 / $449.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.43 / $512.83 / $564.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.99 / $276.14 / $315.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.19 / $236.69 / $512.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.49 / $565.42 / $946.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.63 / $462.55 / $462.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $110.46 / $262.99