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Delaware rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.81 / $222.50 / $403.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.58 / $201.58 / $1,404.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.15 / $216.40 / $372.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.47 / $1,710.47 / $1,710.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.54 / $147.54 / $147.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.32 / $254.93 / $575.77