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Georgia 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
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.91 / $1,302.91 / $1,302.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.93 / $4,469.68 / $9,523.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.60 / $1,392.39 / $2,627.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.97 / $1,217.96 / $1,715.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $660.00 / $1,751.64