go back

Tennessee 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
$776.25 / $776.25 / $776.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $38,018.94 / $38,018.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $4,168.69 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $676.08 / $1,412.54