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Nebraska 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
$173.57 / $224.64 / $303.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.57 / $173.57 / $173.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.80 / $444.30 / $859.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.75 / $418.14 / $431.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.58 / $482.10 / $673.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.79 / $410.28 / $1,249.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.79 / $157.79 / $760.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.58 / $480.94 / $988.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.58 / $482.10 / $673.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.70 / $447.08 / $536.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.90 / $157.79 / $512.83