go back

Virginia rates for HCPCS 40819

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.06 / $2,012.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.18 / $298.12 / $473.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.28 / $271.25 / $394.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.65 / $310.58 / $3,774.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.20 / $347.37 / $574.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.76 / $312.91 / $385.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.88 / $353.87 / $524.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.00 / $429.00 / $632.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.39 / $296.60 / $1,683.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.19 / $387.31 / $1,683.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,276.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.70 / $371.74 / $614.42