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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.38 / $324.19 / $914.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.67 / $344.98 / $545.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.29 / $386.43 / $914.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.16 / $377.16 / $586.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $415.73 / $523.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.17 / $3,778.52 / $4,803.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.81 / $429.28 / $614.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.92 / $346.32 / $566.16