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Louisiana 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
$379.00 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.75 / $277.95 / $432.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.03 / $2,820.07 / $6,644.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $324.22 / $469.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $184.80 / $235.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.44 / $488.00 / $575.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.52 / $311.58 / $512.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.64 / $304.95 / $565.49