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New Mexico rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.52 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.43 / $284.77 / $455.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.32 / $370.50 / $594.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $238.37 / $431.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.30 / $247.22 / $439.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.32 / $370.50 / $594.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $1,327.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.24 / $452.58 / $687.69