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Pennsylvania rates for HCPCS 41805

Removal of embedded foreign body from dentoalveolar structures; soft tissues

Facilitymedian $2,692 · 10th–90th $589$8,3180%5%10%10th90th$2,692Professionalmedian $282 · 10th–90th $182$5250%10%20%10th90th$282$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
$724.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $512.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $288.40 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $478.63
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $457.09 / $660.69
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $323.59 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $309.03 / $512.86
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,995.26 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $602.56
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $524.81 / $676.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $190.55 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $302.00 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,570.40 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $257.04 / $457.09