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North Dakota rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Facilitymedian $71 · 10th–90th $42–$720%20%40%10th90th$71Professionalmedian $93 · 10th–90th $50–$1700%10%10th90th$93$50.0$100.0$200.0$500.0$1.0K$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
$41.69 / $46.77 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $72.44 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $123.03 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $112.20 / $204.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $75.86 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $109.65 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $89.13 / $154.88