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New Mexico 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
$343.78 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.40 / $240.19 / $436.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.46 / $225.34 / $381.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.47 / $290.47 / $314.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.42 / $309.97 / $494.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $83.81 / $442.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.90 / $217.94 / $335.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.22 / $354.36 / $667.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.66 / $354.24 / $607.52