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Idaho rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $354.81 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,047.13 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $380.19 / $537.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $489.78 / $1,202.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $1,737.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $426.58 / $602.56
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $371.54 / $602.56