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Florida rates for HCPCS 40804

Removal of embedded foreign body, vestibule of mouth; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.30 / $3,401.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.40 / $148.51 / $209.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.21 / $194.17 / $346.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $3,121.00 / $6,861.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.80 / $136.81 / $244.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.17 / $182.57 / $254.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.03 / $234.05 / $382.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.66 / $151.15 / $151.15