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Idaho rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Facilitymedian $110 · 10th–90th $12–$6030%10%10th90th$110Professionalmedian $78 · 10th–90th $48–$1350%10%20%10th90th$78$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $72.44 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $75.86 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $128.82
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $89.13 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $83.18 / $144.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $446.68 / $630.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $91.20 / $123.03
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $70.79 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $123.03