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West Virginia rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $44.83 / $71.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.46 / $62.95 / $74.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.59 / $57.11 / $62.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $55.31 / $55.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.13 / $81.13 / $81.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $92.09 / $221.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $77.09 / $153.60