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Florida rates for HCPCS 40804

Removal of embedded foreign body, vestibule of mouth; simple

Facilitymedian $3,715 · 10th–90th $646–$10,0000%10%10th90th$3,715Professionalmedian $174 · 10th–90th $107–$2950%10%10th90th$174$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $4,570.88 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $173.78 / $288.40
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $4,265.80 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $173.78 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $194.98 / $354.81
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,388.44 / $7,585.78
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $151.36 / $194.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $3,311.31 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $186.21 / $354.81
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $151.36 / $213.80