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Utah 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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,653.00 / $17,467.05 / $25,454.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.65 / $1,360.35 / $1,648.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.07 / $1,161.85 / $2,386.08