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Missouri rates for HCPCS 40819

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.27 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.30 / $249.89 / $330.99
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
$221.86 / $308.73 / $473.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.27 / $370.08 / $618.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.88 / $381.02 / $2,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.18 / $615.37 / $2,017.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.88 / $419.60 / $756.56