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West Virginia 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
$237.21 / $394.49 / $414.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.24 / $215.65 / $223.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.99 / $355.04 / $433.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.99 / $355.04 / $355.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.68 / $315.58 / $788.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.20 / $371.67 / $1,267.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.73 / $544.54 / $938.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $131.50 / $381.34