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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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $302.00 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $2,041.74 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $331.13 / $562.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $331.13 / $724.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $380.19 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,715.35 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $630.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $309.03 / $524.81