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Louisiana rates for HCPCS 40804

Removal of embedded foreign body, vestibule of mouth; simple

Facilitymedian $1,445 · 10th–90th $158–$4,1690%5%10%10th90th$1,445Professionalmedian $182 · 10th–90th $115–$2950%10%10th90th$182$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$162.18 / $2,511.89 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $181.97 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $831.76 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $204.17 / $295.12
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $199.53 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,412.54 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $331.13