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Maryland 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
$751.57 / $751.57 / $751.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.94 / $197.24 / $234.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.39 / $210.39 / $239.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.85 / $163.54 / $646.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.99 / $315.58 / $394.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $118.35 / $239.32