| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |
Permanent fallopian tube occlusion with degradable biopolymer implant, transcervical approach, including transvaginal ultrasound
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |