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Idaho rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $82.52 / $135.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $91.51 / $128.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.15 / $92.15 / $166.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.78 / $96.90 / $150.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $106.22 / $133.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.42 / $472.21 / $603.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.12 / $89.09 / $146.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.90 / $98.43 / $126.48