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Indiana rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.41 / $294.70 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.22 / $222.50 / $326.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $4,880.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.69 / $189.46 / $299.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.80 / $172.64 / $322.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.22 / $260.37 / $346.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.35 / $246.23 / $402.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.91 / $232.13 / $416.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $263.79 / $460.90