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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
$309.03 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $436.52 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $416.87 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $645.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $707.95 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $389.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,884.03 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $426.58