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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
$55.92 / $68.93 / $113.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $71.98 / $113.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $74.98 / $100.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.54 / $81.36 / $143.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.60 / $89.33 / $526.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.22 / $111.47 / $576.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.00 / $526.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $94.77 / $148.83