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North Carolina 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
$192.36 / $372.40 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.86 / $243.86 / $386.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.06 / $233.26 / $395.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.80 / $342.01 / $603.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.93 / $359.78 / $475.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.49 / $322.12 / $634.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $275.12 / $438.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.12 / $316.00 / $740.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $152.10 / $679.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $661.00 / $4,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.09 / $301.52 / $704.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,333.68 / $1,333.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.04 / $2,174.08 / $2,550.60