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Indiana rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.40 / $313.44 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.40 / $269.39 / $313.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.55 / $233.44 / $356.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.94 / $239.53 / $353.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $313.44 / $391.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.33 / $242.33 / $242.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.71 / $312.67 / $620.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.62 / $351.52 / $644.58