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Idaho 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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.03 / $1,161.51 / $1,486.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,192.07 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,020.77 / $23,293.60 / $29,018.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.61 / $1,501.95 / $1,501.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.04 / $1,656.97 / $2,445.96