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Georgia rates for HCPCS 57170

Diaphragm/Cervical Cap Fitting W/Instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.94 / $74.61 / $120.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $74.20 / $135.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.49 / $2,152.57 / $4,143.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.44 / $95.15 / $180.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.07 / $51.07 / $51.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.47 / $101.06 / $172.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.22 / $83.15 / $135.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.62 / $106.50 / $184.28