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Louisiana 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
$278.77 / $362.40 / $1,228.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.79 / $291.92 / $341.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.77 / $498.00 / $809.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.84 / $289.29 / $335.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.20 / $259.20 / $259.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.20 / $504.72 / $1,857.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.12 / $209.64 / $527.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $157.79 / $394.49