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Arizona rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.86 / $265.77 / $1,117.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.74 / $275.20 / $379.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.12 / $333.12 / $333.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.57 / $306.85 / $561.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.55 / $301.39 / $1,216.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.89 / $385.56 / $2,126.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.87 / $350.13 / $562.58