go back

Rhode Island rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $338.84 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $346.74 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $512.86