go back

Maine rates for HCPCS 40819

Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.76 / $1,100.64 / $2,976.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.84 / $275.99 / $384.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.52 / $333.47 / $417.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.20 / $360.12 / $597.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.68 / $338.00 / $525.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.64 / $1,100.64 / $2,976.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.18 / $300.61 / $470.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.88 / $445.85 / $550.16