go back

Nebraska 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
$8,646.56 / $11,718.32 / $21,998.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.57 / $1,321.99 / $1,762.65
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
$851.70 / $1,490.48 / $15,405.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.81 / $1,772.40 / $7,346.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.91 / $1,897.39 / $12,836.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.91 / $1,819.04 / $2,260.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.73 / $1,860.54 / $2,307.32