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Missouri rates for HCPCS 40806

Incision of labial frenum (frenotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.61 / $1,662.00 / $6,284.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $89.37 / $161.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.82 / $67.75 / $157.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $95.63 / $217.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $102.77 / $757.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.61 / $219.17 / $820.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.49 / $180.21 / $268.77