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Wisconsin rates for HCPCS 41805

Removal of embedded foreign body from dentoalveolar structures; soft tissues

Facilitymedian $4,169 · 10th–90th $240$7,4130%10%10th90th$4,169Professionalmedian $324 · 10th–90th $186$8710%5%10%10th90th$324$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $407.38 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $489.78 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $977.24 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $512.86 / $1,318.26
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $302.00 / $2,754.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $549.54 / $812.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $309.03 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $630.96 / $2,290.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $229.09
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $3,890.45 / $4,570.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $537.03 / $851.14
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $602.56 / $1,047.13
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $2,137.96 / $2,137.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $660.69 / $2,187.76
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $1,174.90
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,000.00 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $338.84 / $977.24