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Kansas rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $89.13 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $67.61 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $75.86 / $125.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $93.33 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $407.38 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $107.15