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California 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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,242.00 / $7,362.00 / $15,399.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.78 / $1,792.53 / $1,928.73
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.63 / $1,507.45 / $7,133.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.50 / $915.02 / $2,244.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.50 / $874.50 / $1,093.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,472.66 / $9,472.66 / $9,946.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.37 / $907.47 / $1,381.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,588.80 / $38,321.69 / $38,321.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,401.29 / $7,346.08 / $7,665.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.42 / $947.15 / $1,193.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.05 / $875.72 / $1,277.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,431.92 / $8,431.92 / $19,396.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.89 / $1,358.74 / $3,526.68