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Arkansas rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $831.76 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $363.08 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $512.86