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North Dakota rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.39 / $47.39 / $70.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $69.59 / $73.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.37 / $149.26 / $193.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.58 / $134.06 / $236.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.39 / $70.48 / $142.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.90 / $120.60 / $183.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.36 / $129.30 / $183.28