go back

Florida rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $48.98 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $40.74 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $77.62 / $151.36
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,454.71 / $4,168.69
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $54.95 / $83.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $1,584.89 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $128.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $46.77 / $74.13