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Alaska rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.84 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.38 / $1,411.97 / $1,599.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.07 / $691.07 / $942.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.79 / $1,456.77 / $2,039.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.85 / $1,274.70 / $1,852.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.90 / $1,167.75 / $1,986.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.79 / $1,456.77 / $2,039.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.81 / $1,068.75 / $1,934.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.04 / $1,137.19 / $1,844.32