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Wisconsin rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Facilitymedian $2,818 · 10th–90th $603$5,7540%10%10th90th$2,818Professionalmedian $363 · 10th–90th $204$1,0960%5%10%10th90th$363$50.0$200.0$1.0K$5.0K

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
$218.78 / $416.87 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $549.54 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $891.25 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $645.65 / $1,096.48
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $602.56 / $4,265.80
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $851.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $616.60 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $602.56 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $478.63
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $812.83 / $1,148.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $602.56 / $1,023.29
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,995.26 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $977.24 / $2,089.30
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $1,071.52
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,122.02 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $478.63 / $1,258.93