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Tennessee 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
$402.57 / $1,821.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.86 / $278.87 / $449.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $2,085.00 / $2,805.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.94 / $300.77 / $522.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.52 / $373.00 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.38 / $282.62 / $530.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,333.68 / $1,380.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.04 / $2,174.08 / $2,550.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.26 / $326.31 / $611.55