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Colorado rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.12 / $43.12 / $71.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.12 / $71.94 / $88.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $92.88 / $153.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.89 / $87.98 / $130.19
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.87 / $76.53 / $118.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $90.82 / $151.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,464.00 / $3,011.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.80 / $107.40 / $182.25