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Rhode Island 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
$625.00 / $625.00 / $625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.09 / $194.61 / $215.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.99 / $309.75 / $336.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.65 / $197.24 / $321.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.90 / $777.90 / $777.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $361.09 / $734.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $157.79 / $379.31