go back

Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.89 / $289.82 / $386.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.01 / $269.01 / $1,404.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.03 / $246.90 / $446.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.09 / $268.39 / $671.91