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Michigan rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Facilitymedian $2,884 · 10th–90th $355–$4,8980%20%10th90th$2,884Professionalmedian $288 · 10th–90th $195–$4900%10%10th90th$288$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $281.84 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $302.00 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $302.00 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $446.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $354.81 / $549.54
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $954.99 / $1,737.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $354.81 / $512.86