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Washington, DC rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $67.61 / $162.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $338.84 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $74.13 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $549.54 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $72.44 / $154.88