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Nevada rates for HCPCS 40804

Removal of embedded foreign body, vestibule of mouth; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.13 / $3,959.00 / $10,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.13 / $196.07 / $371.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,433.00 / $4,098.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.08 / $191.26 / $288.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.94 / $185.68 / $296.11
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $197.78 / $347.68
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.17 / $1,036.17 / $1,036.17
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.57 / $115.27 / $190.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.00 / $2,200.00 / $6,317.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.81 / $227.85 / $354.68