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Arkansas rates for HCPCS 0421T

Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included when performed)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.13 / $1,207.13 / $2,609.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,703.29 / $8,703.29 / $10,443.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.48 / $949.23 / $1,916.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,356.00 / $3,356.00 / $3,356.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.42 / $1,210.15 / $2,296.84