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Connecticut 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
$645.65 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,168.69 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $398.11 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $630.96 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $346.74 / $741.31
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $5,248.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $295.12 / $691.83