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Vermont rates for HCPCS 57170

Diaphragm/Cervical Cap Fitting W/Instructions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.64 / $83.82 / $372.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $82.79 / $283.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.34 / $101.39 / $283.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.36 / $110.78 / $347.45