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Kentucky 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
$7,212.00 / $8,114.00 / $9,015.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,839.92 / $50,749.49 / $83,999.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73,499.27 / $104,998.95 / $104,998.95