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Ohio 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
$289.82 / $2,113.00 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.70 / $276.38 / $449.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,114.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.72 / $172.21 / $352.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.25 / $211.50 / $261.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.31 / $298.89 / $353.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.44 / $400.00 / $581.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.59 / $289.39 / $506.72
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.44 / $400.00 / $577.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.34 / $298.89 / $506.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $262.66 / $403.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.00 / $2,111.00 / $4,951.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.28 / $323.89 / $616.17