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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
$38.90 / $61.66 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $125.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $549.54 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $74.13 / $165.96