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Indiana rates for HCPCS 0567T

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

Facilitymedian $19,953 · 10th–90th $8,710–$27,5420%10%10th90th$19,953Professionalmedian $372 · 10th–90th $251–$5130%10%20%10th90th$372$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $19,952.62 / $27,542.29
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $52,480.75 / $66,069.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $12,022.64 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $371.54 / $512.86