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Vermont 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
Professional
Modifier
Low / Median / High Price
$184.09 / $218.28 / $326.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.17 / $440.17 / $440.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.29 / $307.42 / $611.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.17 / $440.17 / $440.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.29 / $307.42 / $611.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.87 / $368.19 / $607.61