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Nebraska rates for HCPCS 0567T

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

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.76 / $1,075.76 / $1,075.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.71 / $1,651.71 / $1,651.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.24 / $473.78 / $588.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.24 / $473.78 / $588.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00