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Montana 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
$47,000.00 / $81,499.99 / $94,999.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.05 / $591.05 / $738.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.05 / $666.05 / $886.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.14 / $1,988.40 / $2,319.80