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Permanent Tube Blockage Through The Cervix

Montana rates for HCPCS 0567T

Blocks a fallopian tube permanently by placing a material inside it through the cervix, so that an egg and sperm can no longer meet. It is done without an abdominal incision, with ultrasound through the vagina used to guide placement.

Rates data updated October 2026.

How much rates vary

Facilitymedian $302 · 10th to 90th $302 to $302
facility $302

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00