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Montana rates for HCPCS 41805

Removal of embedded foreign body from dentoalveolar structures; soft tissues

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $302.00 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $309.03 / $831.76
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $398.11 / $549.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $398.11 / $549.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $309.03 / $588.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $426.58 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $354.81 / $549.54