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Louisiana rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Facilitymedian $214 · 10th–90th $49–$1,0720%10%10th90th$214Professionalmedian $71 · 10th–90th $43–$1120%10%10th90th$71$20.0$100.0$500.0$2.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $70.79 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $173.78 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $75.86 / $120.23
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $81.28 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $467.74 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $72.44 / $123.03