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Missouri rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.44 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.61 / $261.82 / $681.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.88 / $305.70 / $506.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.00 / $377.77 / $642.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.61 / $359.66 / $932.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.61 / $648.58 / $2,126.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $747.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.39 / $486.80 / $829.15