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Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $380.19 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,398.83 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $275.42 / $549.54