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North Carolina rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.27 / $488.07 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.27 / $278.33 / $376.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.14 / $466.67 / $850.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.13 / $406.62 / $735.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.27 / $330.31 / $611.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.86 / $382.86 / $735.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $322.39 / $928.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.44 / $405.08 / $828.71
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,388.40 / $1,388.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.00 / $2,089.60 / $2,410.58