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Ohio 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
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $776.25 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,365.16 / $16,982.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $12,302.69 / $45,708.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $13,489.63 / $23,442.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $1,995.26