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Oklahoma 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
$194.61 / $262.99 / $631.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.75 / $197.24 / $234.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.73 / $525.79 / $761.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.84 / $249.84 / $249.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.94 / $170.94 / $702.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.84 / $140.35 / $383.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.61 / $262.99 / $441.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $110.46 / $394.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $110.46 / $168.31