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New Mexico rates for HCPCS 40804

Removal of embedded foreign body, vestibule of mouth; simple

Facilitymedian $324 · 10th–90th $178–$7,7620%10%10th90th$324Professionalmedian $186 · 10th–90th $112–$3240%20%10th90th$186$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$177.83 / $309.03 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $186.21 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $707.95 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $229.09 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $263.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $229.09 / $446.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $229.09 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $3,630.78 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $229.09 / $380.19