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Alaska rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.69 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.11 / $265.10 / $1,308.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.92 / $317.44 / $786.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.04 / $763.88 / $1,831.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.95 / $773.50 / $1,621.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.10 / $852.00 / $1,434.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.86 / $763.88 / $1,831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.77 / $701.10 / $1,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.27 / $680.49 / $1,727.16