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South Carolina 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
$363.08 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,754.40 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $199.53 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $371.54 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $295.12 / $676.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $257.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $295.12 / $524.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,309.57 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $407.38