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Alabama rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $67.61 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $323.59 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $56.23 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $72.44 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $562.34 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $95.50