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Washington rates for HCPCS 41805

Removal of embedded foreign body from dentoalveolar structures; soft tissues

Facilitymedian $525 · 10th–90th $251$6,4570%10%10th90th$525Professionalmedian $324 · 10th–90th $186$6760%10%10th90th$324$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$380.19 / $954.99 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $302.00 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,265.80 / $8,317.64
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $457.09 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $467.74 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $371.54 / $812.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $426.58 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $398.11 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $128.82
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $562.34 / $616.60
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $416.87 / $436.52
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $776.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,265.80 / $8,317.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $467.74 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $4,466.84 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $323.59 / $630.96
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $331.13 / $467.74