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Connecticut rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $89.13 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $69.18 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $109.65 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $102.33 / $186.21
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $91.20 / $165.96