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Maine rates for HCPCS 41010

Incision Lingual Frenum Frenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.62 / $554.62 / $554.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.29 / $189.09 / $301.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.99 / $211.74 / $323.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.76 / $181.76 / $456.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.25 / $240.45 / $490.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.85 / $242.90 / $453.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.62 / $554.62 / $4,207.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.15 / $207.49 / $331.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $284.10 / $443.29