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Ohio rates for HCPCS 0567T

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,426.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,374.89 / $45,499.55 / $68,249.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,499.48 / $70,874.30 / $74,999.25