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Nevada rates for HCPCS 40804

Removal of embedded foreign body, vestibule of mouth; simple

Facilitymedian $2,512 · 10th–90th $195–$5,8880%10%20%10th90th$2,512Professionalmedian $191 · 10th–90th $110–$5010%20%10th90th$191$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$114.82 / $2,137.96 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $181.97 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,467.37 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $199.53 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $190.55 / $309.03
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $199.53 / $331.13
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $173.78 / $309.03
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,995.26 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $194.98 / $346.74