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Minnesota 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
$194.98 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,951.21 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $575.44 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,174.90 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $691.83 / $1,318.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,122.02 / $2,187.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $691.83 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $338.84 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $588.84 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $407.38 / $891.25