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Nebraska rates for HCPCS 0568T

Introduction of mixture of saline and air for sonosalpingography to confirm occlusion of fallopian tubes, transcervical approach, including transvaginal ultrasound and pelvic ultrasound

Facilitymedian $417 · 10th–90th $56–$6,7610%20%10th90th$417Professionalmedian $275 · 10th–90th $182–$8320%20%10th90th$275$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,388.44 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $426.58