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Minnesota 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
$8,775.12 / $18,405.61 / $36,137.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.33 / $1,597.92 / $1,597.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.73 / $2,750.78 / $6,617.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.25 / $949.99 / $1,110.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.86 / $2,514.88 / $5,210.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.63 / $874.50 / $996.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.41 / $1,638.18 / $16,419.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.41 / $2,345.38 / $4,616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.41 / $2,442.38 / $4,365.43