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Nebraska 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
$645.65 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $7,762.47 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $407.38 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $323.59 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $645.65 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $549.54 / $707.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $165.96 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,162.28 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $363.08 / $707.95