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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

Facilitymedian $490 · 10th–90th $191–$1,3490%5%10th90th$490Professionalmedian $200 · 10th–90th $110–$3550%10%10th90th$200$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $457.09 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $204.17 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $831.76 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $151.36 / $354.81
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $275.42 / $436.52
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $263.03 / $371.54
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $537.03 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $165.96 / $416.87
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,995.26 / $1,995.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $269.15 / $588.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $263.03
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $758.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $281.84 / $562.34
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $724.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $204.17 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $263.03 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $263.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $218.78