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Removal Of An Embedded Object From The Gum Tissue

Texas rates for HCPCS 41805

This procedure removes an object that has become embedded in the soft tissue of the gums or the tooth-bearing part of the jaw, such as a broken piece of a dental instrument or other foreign material. The area is opened as needed to locate and remove the object, and the wound is then closed. It addresses soft tissue only, not an object embedded within the bone itself.

Facilitymedian $646 · 10th–90th $200$4,6770%5%10%10th90th$646Professionalmedian $275 · 10th–90th $182$4570%20%10th90th$275$10.0$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,454.71
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$288.40
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$380.19
Christus
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$524.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$2,137.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$2,570.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$741.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$257.04
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$537.03
Typical High
$870.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,995.26
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$398.11
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$302.00
Typical High
$346.74