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Missouri 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
$9,069.00 / $13,770.00 / $24,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.26 / $889.33 / $1,739.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.25 / $883.25 / $883.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.44 / $1,450.64 / $11,258.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.71 / $1,366.71 / $7,346.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.00 / $1,196.01 / $2,392.30