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Indiana 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
$215.65 / $436.56 / $920.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.61 / $215.65 / $236.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.76 / $235.38 / $788.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $105.20 / $145.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.99 / $315.58 / $368.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.99 / $289.29 / $368.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.94 / $497.03 / $1,025.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.39 / $189.43 / $381.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $157.79 / $289.02