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Arizona 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.59 / $1,159.50 / $1,897.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.44 / $1,608.40 / $7,883.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.38 / $1,325.60 / $2,669.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.34 / $1,226.19 / $2,175.11