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New Jersey rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.51 / $5,009.00 / $9,842.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.24 / $292.24 / $424.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.18 / $431.44 / $972.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.78 / $433.90 / $534.55
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.13 / $1,134.68 / $2,684.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.97 / $300.54 / $521.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.99 / $308.75 / $721.06