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Indiana 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
$2,310.00 / $10,700.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.44 / $1,914.24 / $4,560.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.84 / $12,492.58 / $19,859.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.97 / $926.97 / $1,110.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.59 / $1,049.86 / $1,730.10