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Nationwide rates for HCPCS 0567T

Permanent fallopian tube occlusion with degradable biopolymer implant, transcervical approach, including transvaginal ultrasound

Facilitymedian $7,413 · 10th–90th $2,399–$16,9820%10%10th90th$7,413Professionalmedian $363 · 10th–90th $240–$8510%20%10th90th$363$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $7,943.28 / $16,982.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,344.23 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $549.54

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