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Kentucky 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
$234.42 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $251.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $194.98 / $275.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,348.96 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $398.11