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Pennsylvania rates for HCPCS 41010

Incision Lingual Frenum Frenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.96 / $1,711.62 / $6,424.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.28 / $211.68 / $586.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.00 / $2,838.15 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.92 / $212.65 / $212.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $932.58 / $1,852.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.79 / $202.68 / $365.35
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.67 / $246.67 / $246.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.72 / $332.68 / $425.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.20 / $3,680.00 / $6,649.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.75 / $113.75 / $205.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $2,070.00 / $7,197.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.29 / $231.46 / $678.33
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.69 / $153.69 / $153.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $157.10 / $599.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.76 / $795.00 / $1,762.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.85 / $203.88 / $370.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.33 / $173.62 / $210.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.79 / $173.62 / $228.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.45 / $231.33 / $399.13