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Georgia rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.20 / $3,826.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.03 / $310.70 / $663.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.49 / $2,098.00 / $3,851.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.81 / $386.80 / $664.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.41 / $228.41 / $228.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.62 / $436.54 / $703.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.75 / $322.43 / $634.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.97 / $455.56 / $685.46