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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
$204.30 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.86 / $240.19 / $362.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.79 / $1,411.79 / $1,609.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.88 / $302.76 / $425.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.51 / $366.00 / $2,519.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.96 / $300.54 / $490.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.00 / $1,106.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.98 / $308.57 / $574.32