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Arizona rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Facilitymedian $74 · 10th–90th $22–$1,6980%5%10th90th$74Professionalmedian $71 · 10th–90th $43–$1480%10%10th90th$71$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $69.18 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $34.67 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $89.13 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $74.13 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $83.18 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $933.25 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $66.07 / $114.82