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Pennsylvania 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
$926.97 / $926.97 / $1,110.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.33 / $1,272.98 / $2,255.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,224.49 / $21,786.16 / $46,739.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.97 / $926.97 / $1,110.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.52 / $752.62 / $1,838.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.52 / $752.62 / $1,808.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.41 / $1,448.08 / $2,450.03