| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,157.32 | $5,157.32 | $5,673.05 | |
BCBS
| Professional | $489.00 | $489.00 | $489.00 |
Permanent fallopian tube occlusion with degradable biopolymer implant, transcervical approach, including transvaginal ultrasound
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,157.32 | $5,157.32 | $5,673.05 | |
BCBS
| Professional | $489.00 | $489.00 | $489.00 |