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Virginia 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
$241.18 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.55 / $241.18 / $386.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.77 / $292.58 / $460.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.80 / $195.33 / $392.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.28 / $320.00 / $610.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.86 / $289.31 / $530.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.36 / $360.45 / $515.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.95 / $301.61 / $500.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.00 / $344.00 / $550.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.61 / $229.93 / $450.51
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.69 / $340.01 / $702.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.55 / $302.27 / $568.57