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Mississippi rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.10 / $62.93 / $135.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.10 / $84.49 / $159.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.98 / $45.98 / $45.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.83 / $41.83 / $227.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $85.42 / $129.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $529.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $76.55 / $173.06