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Rhode Island rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.47 / $62.04 / $90.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.91 / $89.95 / $102.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.54 / $98.41 / $147.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.06 / $100.53 / $155.16