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Colorado rates for HCPCS 40804

Removal of embedded foreign body, vestibule of mouth; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.72 / $194.70 / $265.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.31 / $225.66 / $368.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.54 / $234.26 / $343.16
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.17 / $204.46 / $321.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $235.90 / $393.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $4,182.00 / $7,179.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.19 / $314.93 / $507.95