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Indiana 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
$2,310.00 / $10,700.00 / $28,091.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,749.56 / $65,624.35 / $89,999.10