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South Carolina 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
$184.09 / $254.36 / $1,122.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.13 / $210.39 / $234.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.00 / $154.00 / $270.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.95 / $647.86 / $1,499.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.39 / $128.30 / $357.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.13 / $262.99 / $381.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $144.63 / $239.48