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Nationwide rates for HCPCS 57170

Diaphragm/Cervical Cap Fitting W/Instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.65 / $66.84 / $95.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $67.42 / $112.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $2,479.00 / $4,441.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.01 / $82.89 / $146.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.18 / $57.48 / $74.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $87.37 / $147.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $1,221.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.11 / $98.50 / $162.40