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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
$70.13 / $88.11 / $90.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.02 / $88.10 / $126.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $11,797.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.88 / $111.13 / $153.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $112.78 / $192.01
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.48 / $129.07 / $129.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.89 / $120.91 / $206.85