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Arkansas 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
$204.17 / $794.33 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $363.08 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $288.40 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,288.25 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $263.03 / $426.58