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Washington rates for HCPCS 0421T

Transurethral Waterjet Ablation Prostate Compl

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,810.12 / $26,106.65 / $49,939.07
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.10 / $2,415.17 / $8,811.15
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,428.82 / $10,782.13 / $25,347.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,088.36 / $10,782.13 / $19,253.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.28 / $7,317.68 / $11,335.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.68 / $1,500.79 / $4,273.27
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.89 / $2,321.51 / $2,829.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,049.61 / $26,106.65 / $49,939.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.10 / $1,963.80 / $2,711.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.88 / $1,878.20 / $2,921.29