go back

Virginia rates for HCPCS 41805

Removal of embedded foreign body from dentoalveolar structures; soft tissues

Facilitymedian $355 · 10th–90th $182$5,2480%5%10th90th$355Professionalmedian $288 · 10th–90th $182$5010%10%10th90th$288$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $316.23 / $524.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $288.40 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $275.42 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $389.05 / $724.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $229.09 / $371.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $302.00 / $512.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $363.08
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $218.78 / $912.01
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $2,511.89 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $251.19 / $457.09