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Michigan 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,598.13 / $13,518.03 / $18,314.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,213.79 / $8,991.93 / $11,672.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,464.69 / $2,464.69 / $2,800.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.51 / $4,029.00 / $19,397.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.51 / $927.15 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.24 / $1,177.46 / $1,578.58