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New Jersey rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $81.28 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $67.61 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $87.10 / $190.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $89.13 / $138.04
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $645.65 / $1,023.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $74.13 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,884.03 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $74.13 / $125.89