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Ohio rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Facilitymedian $2,884 · 10th–90th $302$10,7150%5%10%10th90th$2,884Professionalmedian $282 · 10th–90th $195$5750%20%10th90th$282$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$302.00 / $3,019.95 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,238.72 / $4,073.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $288.40 / $489.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $204.17 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $251.19 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $331.13 / $562.34
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $338.84 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $331.13
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $295.12 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $954.99 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $302.00 / $501.19