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Nebraska rates for HCPCS 41805

Removal of embedded foreign body from dentoalveolar structures; soft tissues

Facilitymedian $2,344 · 10th–90th $269–$8,5110%10%10th90th$2,344Professionalmedian $295 · 10th–90th $182–$6460%20%10th90th$295$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $7,762.47 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $363.08 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $467.74 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $323.59 / $588.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $616.60 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $616.60 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $549.54 / $724.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $165.96 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,630.27 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $363.08 / $707.95