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Tennessee rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.38 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.32 / $274.20 / $408.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,522.00 / $2,330.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.64 / $339.85 / $583.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $352.04 / $586.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,388.40 / $1,398.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.00 / $2,089.60 / $2,410.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.70 / $454.82 / $914.35