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Tennessee 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
$197.24 / $286.00 / $841.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.24 / $207.76 / $249.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.75 / $347.15 / $518.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.63 / $566.57 / $938.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.75 / $181.02 / $452.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.60 / $1,249.20 / $1,249.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.69 / $1,309.69 / $1,972.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $157.79 / $262.99