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Alaska rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Facilitymedian $457 · 10th–90th $240–$6,6070%5%10%10th90th$457Professionalmedian $309 · 10th–90th $191–$1,1480%10%10th90th$309$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$588.84 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $281.84 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $691.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $1,479.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $870.96 / $1,862.09
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,148.15 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $407.38 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $436.52 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $724.44 / $1,548.82