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North Carolina 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
Professional
Modifier
Low / Median / High Price
$1,089.54 / $1,634.32 / $2,216.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.80 / $974.51 / $2,148.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.51 / $974.51 / $974.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $660.00 / $1,507.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,588.80 / $38,321.69 / $38,321.69
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,401.29 / $7,665.23 / $7,665.23