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Delaware rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.70 / $46.06 / $74.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.38 / $70.73 / $106.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.16 / $99.09 / $159.94