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Oklahoma 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
$625.00 / $2,923.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.83 / $240.19 / $331.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.32 / $281.52 / $405.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.92 / $306.60 / $1,473.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.64 / $335.46 / $2,275.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.59 / $1,928.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.47 / $289.70 / $484.89