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Michigan rates for HCPCS 41805

Removal of embedded foreign body from dentoalveolar structures; soft tissues

Facilitymedian $2,042 · 10th–90th $309–$4,8980%10%20%10th90th$2,042Professionalmedian $282 · 10th–90th $182–$4370%10%10th90th$282$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $436.52 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $416.87 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $275.42 / $630.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $707.95 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $524.81
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,630.27 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $269.15 / $436.52