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Missouri 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
$818.00 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.27 / $266.79 / $377.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.76 / $255.79 / $431.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.85 / $304.11 / $536.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.27 / $310.43 / $698.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.82 / $575.20 / $2,275.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.78 / $1,460.00 / $2,745.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.73 / $384.81 / $678.39