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Hawaii rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $380.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $7,079.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $426.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $269.15 / $407.38