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Wyoming rates for HCPCS 40804

Removal of embedded foreign body, vestibule of mouth; simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $181.97 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $489.78 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $269.15 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,288.25 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $346.74 / $616.60