go back

Illinois rates for HCPCS 41805

Rmvl Embedded Fb From Dentalvlr Struxs Soft Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.27 / $1,055.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.27 / $280.86 / $450.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.52 / $2,118.52 / $3,789.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.59 / $319.85 / $491.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $463.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.39 / $311.33 / $508.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.92 / $410.75 / $996.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.49 / $233.09 / $395.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $447.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,465.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.72 / $331.39 / $628.51