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Alabama rates for HCPCS 57170

Diaphragm/Cervical Cap Fitting W/Instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.52 / $63.52 / $102.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $63.95 / $102.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.63 / $318.70 / $428.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.42 / $55.96 / $86.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.24 / $75.43 / $182.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,349.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $76.55 / $109.73