| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,283.00 | $5,160.00 | $11,809.00 | |
CDPHP
| Facility | $4,106.50 | $4,106.50 | $12,319.50 |
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 | $3,283.00 | $5,160.00 | $11,809.00 | |
CDPHP
| Facility | $4,106.50 | $4,106.50 | $12,319.50 |