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Michigan 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
$243.86 / $482.22 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.40 / $243.86 / $382.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.39 / $402.48 / $542.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $275.81 / $484.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.37 / $276.66 / $622.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.82 / $1,017.19 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.06 / $271.32 / $418.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.05 / $246.31 / $375.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,569.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.12 / $335.46 / $481.85