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California 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
$291.25 / $5,165.00 / $17,380.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.40 / $240.18 / $922.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.00 / $4,417.00 / $9,244.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.56 / $252.28 / $573.16
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $9,241.04
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.24 / $198.76 / $483.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $467.53 / $1,404.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.41 / $300.81 / $689.98
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.31 / $248.52 / $476.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.72 / $332.08 / $595.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,333.68 / $1,380.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.04 / $2,174.08 / $2,550.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $251.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.33 / $276.87 / $481.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.27 / $344.79 / $761.24
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.16 / $638.16 / $1,002.42
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.31 / $200.94 / $441.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.00 / $3,928.00 / $9,131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $295.61 / $789.14