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Washington, DC rates for HCPCS 57170

Diaphragm/Cervical Cap Fitting W/Instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.46 / $39.46 / $67.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.46 / $67.39 / $67.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $58.49 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $73.58 / $177.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.08 / $180.18 / $180.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.83 / $134.11 / $209.12