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Arizona rates for HCPCS 41115

Excision Lingual Frenum Frenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.19 / $2,359.00 / $6,060.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.96 / $236.62 / $427.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.07 / $225.84 / $327.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.22 / $206.58 / $338.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.58 / $235.61 / $454.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.81 / $243.94 / $546.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.33 / $302.00 / $1,940.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.98 / $261.00 / $479.81