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Minnesota 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
$247.21 / $247.21 / $247.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.09 / $234.06 / $247.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.44 / $262.99 / $335.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.39 / $262.99 / $262.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.80 / $959.13 / $2,307.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.33 / $383.94 / $511.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.20 / $876.88 / $1,816.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.32 / $302.32 / $477.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.99 / $460.23 / $723.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.12 / $210.39 / $693.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $157.79 / $560.08