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Colorado rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.00 / $3,149.00 / $9,888.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.74 / $297.25 / $424.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.20 / $355.86 / $560.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.05 / $374.44 / $587.11
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.85 / $346.31 / $499.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.92 / $375.17 / $571.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $1,464.00 / $3,011.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.58 / $487.81 / $766.00