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Utah rates for HCPCS 40819

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $602.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $5,888.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $457.09 / $630.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $389.05 / $676.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $302.00 / $501.19