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Alaska rates for HCPCS 41805

Removal of embedded foreign body from dentoalveolar structures; soft tissues

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.57 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.36 / $324.19 / $1,516.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.42 / $375.46 / $921.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.34 / $981.39 / $2,123.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.23 / $933.47 / $1,883.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.00 / $1,071.56 / $1,659.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $981.39 / $2,123.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.80 / $814.50 / $1,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.56 / $714.99 / $1,971.88