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New York 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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,360.00 / $2,700.00 / $2,760.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.46 / $1,792.53 / $3,585.07
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,128.76 / $2,115.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.12 / $1,022.71 / $2,255.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,531.62 / $6,715.37 / $9,627.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.76 / $956.81 / $2,343.23