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Texas 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)

Facilitymedian $6,457 · 10th–90th $2,089–$38,0190%10%10th90th$6,457Professionalmedian $6,457 · 10th–90th $1,023–$7,5860%20%10th90th$6,457$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,096.48
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,585.78 / $7,585.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,888.44 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,258.93 / $1,995.26