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Louisiana rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.45 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.26 / $323.25 / $447.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.55 / $1,027.53 / $2,357.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.31 / $367.74 / $454.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.25 / $308.27 / $500.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.76 / $459.60 / $586.13