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Michigan rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Facilitymedian $162 · 10th–90th $58–$1,4130%10%20%10th90th$162Professionalmedian $69 · 10th–90th $42–$1070%10%10th90th$69$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 / $58.88 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $67.61 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $44.67 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $70.79 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $69.18 / $114.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $162.18 / $190.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $75.86 / $123.03
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $66.07 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $645.65 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $72.44 / $107.15