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New Hampshire 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
$294.55 / $995.00 / $1,840.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.09 / $205.13 / $218.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.62 / $509.10 / $1,309.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $170.94 / $170.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.87 / $961.22 / $1,153.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $418.03 / $1,092.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.99 / $381.70 / $866.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $157.79 / $262.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.32 / $235.64 / $342.78