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West 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
$185.01 / $291.17 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.55 / $240.18 / $362.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.39 / $196.10 / $230.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.71 / $204.98 / $296.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.44 / $314.44 / $314.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.16 / $289.39 / $654.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.77 / $259.08 / $466.03