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Texas 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
$173.57 / $460.23 / $1,361.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.27 / $194.61 / $302.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.20 / $641.70 / $1,354.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $144.63 / $368.19
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.73 / $262.99 / $433.93
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.09 / $251.25 / $368.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.20 / $259.20 / $262.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.94 / $617.21 / $1,171.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.79 / $152.02 / $414.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.78 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.41 / $262.99 / $420.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.99 / $262.99 / $394.49
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.20 / $335.55 / $789.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.84 / $315.58 / $478.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.10 / $270.77 / $947.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.49 / $248.51 / $412.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $110.46 / $186.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $105.20 / $262.99