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Missouri 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
$223.54 / $353.54 / $610.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.87 / $226.17 / $281.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.99 / $276.14 / $1,213.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $266.52 / $533.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.28 / $513.39 / $626.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.82 / $164.49 / $351.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.54 / $315.58 / $1,249.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $157.79 / $1,309.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $157.79 / $297.44