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Texas 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
$361.53 / $2,107.00 / $6,762.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $266.79 / $388.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.47 / $383.45 / $1,543.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.22 / $288.72 / $399.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.80 / $184.80 / $306.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.01 / $351.96 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.59 / $308.87 / $495.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,380.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.04 / $2,174.08 / $2,550.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.20 / $252.76 / $462.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.15 / $350.76 / $528.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $160.69 / $863.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.82 / $259.35 / $517.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.17 / $342.49 / $610.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $2,045.00 / $4,480.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.38 / $298.39 / $472.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.39 / $292.89 / $398.22