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California rates for HCPCS 0567T

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,242.00 / $7,362.00 / $15,399.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.65 / $1,075.76 / $1,075.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.71 / $1,651.71 / $1,651.71