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Virginia 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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.54 / $1,962.11 / $2,676.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.20 / $1,248.77 / $8,031.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.92 / $935.91 / $1,134.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.51 / $2,000.00 / $3,380.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.00 / $1,993.00 / $2,337.46
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.36 / $1,496.50 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.36 / $1,496.50 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $730.66 / $2,550.37