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North Dakota 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.50 / $874.50 / $1,093.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.14 / $2,000.00 / $6,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.01 / $1,967.90 / $2,274.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.01 / $1,967.90 / $2,487.69