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Idaho rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.21 / $912.36 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.37 / $274.77 / $766.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.71 / $267.11 / $446.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.64 / $376.83 / $766.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.90 / $400.14 / $499.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $354.10 / $445.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.94 / $3,429.20 / $4,629.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.22 / $338.76 / $524.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.99 / $355.25 / $536.50