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Illinois 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)

Facilitymedian $4,786 · 10th–90th $794–$7,0790%20%10th90th$4,786Professionalmedian $1,148 · 10th–90th $741–$1,6220%10%10th90th$1,148$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,202.26 / $1,621.81
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,023.29 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $4,786.30 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,000.00 / $1,584.89